Dr. Don Schiller - The Ileostomy Specialist
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Dr. Don Schiller has retired from his practice
involving BCIR and Kock Pouch surgery.

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Benefits of a Kock Pouch

March 28, 2015  ·  By: MD

A Kock Pouch is an innovative surgical solution for patients who must have a portion of the colon and rectum removed. It is an alternative to the other solutions available, which include the J-pouch and the conventional ileostomy. The Kock Pouch offers several notable benefits over these other procedures that can allow patients to live a fuller, more normal life.

What is a Kock Pouch?

A Kock Pouch involves the creation of an internal reservoir that stores the body’s waste until you are ready to release it. The reservoir is formed from your own small intestine. During this procedure, a portion of your small intestine will also be used to create a nipple valve, which will remain sealed until you choose to empty the reservoir. To empty the reservoir, you will simply insert a catheter into the valve and release waste into the toilet.

Shortly after the Kock Pouch procedure was developed, several problems became apparent. Because of these issues, many of the first Kock Pouches failed. However, in the late 1970s, Dr. William Barnett began making revisions and eventually developed the Barnett Continent Intestinal Reservoir procedure, which solved many of the problems present in the original design. This version of the Kock Pouch is used in our facility today.

Advantages

The Barnett version of the Kock Pouch offers many advantages over other methods, including:

  • Waste does not flow continuously.
  • Waste must be emptied only 3 to 5 times a day, as opposed to 7 or more with the J-pouch.
  • The valve remains sealed until you decide to empty the reservoir.
  • No gas or waste will leak through the valve when it is sealed.
  • The stoma is flat and inconspicuous.
  • No external bag is required.
  • You have complete control over the emptying of the reservoir.
  • The pouch is internal and the stoma doesn’t leak, so you won’t have to worry about skin irritation or pain.

Learning More

The Barnett version of the Kock Pouch is appropriate for patients who are preparing to have their colon and rectum removed, as well as for those who are unhappy with an existing J-pouch or conventional ileostomy. If you are interested in learning more about the Kock Pouch, contact our office today to schedule a consultation with our team.

Retirement Announcement

Dr. Don Schiller has retired from his practice involving BCIR and Kock Pouch surgery. To find a surgeon who can help you, go to www.qla-ostomy.org and click on the tab Medical Info and you will see a Directory of all the surgeons in the country who perform Continent Ileostomy surgery.

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Contact our office for details

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