How Do I Avoid Ostomy Odor?
Worry about ostomy odors? No need! There are products and lifestyle adjustments you can make to reduce odors from your ostomy. After your ostomy surgery, you’ll have many questions about adjusting to your new reality. Can I still do sports? Can I enjoy the same foods? With time and practice, you can return to your normal activities with few changes to your daily life. Yet one major concern many ostomates express is whether their ostomy surgery will cause embarrassing odors in public. Although it’s understandable to be self-conscious about noticeable smells from your ostomy pouch, you can take precautions to avoid ostomy odors. How to Avoid Ostomy Odors The thought […]
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Can I Get a Massage with an Ostomy?
Massages aren’t off-limits after you have an ileostomy, but there are a few things for patients to know. After having an ileostomy, it’s common for patients to experience increased soreness, tenderness, or stiffness — not only in the parts of the body directly affected by the surgery, but often in the surrounding areas, including the neck, shoulders, and back. Visiting a massage therapist is an excellent way to relieve muscle tension — especially if you are still regaining mobility or easing back into everyday life — and can help even reduce the formation of scar tissue during your recovery. The body creates scar tissue, or “adhesions,” in response to muscle […]
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How to Change Your Ostomy Pouch
Changing your ostomy pouch can be simple and painless if you follow these four steps. Perhaps the biggest adjustment after ostomy surgery is learning when and how to change your ostomy pouch. Before leaving the hospital, your ostomy nurse will provide pointers on removing and adhering a new pouch. You’ll likely need some time to adjust to your new normal, but this process can become a simple part of your weekly routine. After intestinal surgery, it’s your pouch’s job to catch fecal matter. When the pouch is about a third full, you drain it and seal it up again. Though durable, ostomy pouching systems must be switched out periodically to […]
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Tips for Traveling with an Ostomy
With some pre-planning, traveling with an ostomy can be a simple and stress-free experience. With COVID-19 restrictions lifted across the country and more and more people getting vaccinated, many of us are excited to travel again. After a year of hunkering down at home, people are finally venturing out either for business or pleasure. If you have an ostomy, however, you may be concerned about the logistics of travel, such as finding the safest, most comfortable options. Fortunately, by doing some pre-planning and following these seven tips, ostomates can enjoy a stress-free trip. 7 Tips for Traveling with an Ostomy Before booking your trip the plane, check the Center for […]
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What’s the Best Type of Ostomy Bag?
After ileostomy surgery, your first step is choosing the ostomy pouching system that works best for you. One of the most important decisions you’ll make following your ileostomy surgery is which ostomy pouching system to use. Finding the right appliance for your body shape, stoma, and lifestyle can greatly improve your outlook and enable you to enjoy a high quality of life. After your surgery, the hospital will fit you with an ostomy pouching system. However, you are not limited to what the hospital provides. As you recover, your stoma may change in size, and you can explore other options as you become more active. Choosing the Right Ostomy Bag […]
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Debunking Common Ostomy Myths
There are a lot of misconceptions about ostomy surgery. Here we set the record straight. According to the United Ostomy Associations of American (UOAA), between 725,000 and 1 million people in the U.S. live with an ostomy. This surgery frees them from the pain of debilitating conditions such as cancer and inflammatory bowel disease. Yet misconceptions about colostomies and ileostomies may prevent some people from seeking this life-changing operation. Rather than being swayed by ostomy falsehoods, learn what you can really expect after your surgery. 6 Common Ostomy Myths and Why They’re Wrong Unfortunately, a lot of misinformation surrounds ostomy surgery. Here’s why these common myths are false. Other People […]
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A Guide to Telling New People About Your Ileostomy
Telling people about your ileostomy may be intimidating at first. But with the right approach, you can share the news with people you trust. Telling people about your ileostomy may seem like an awkward or even anxiety-provoking task. So what’s the best way to approach the conversation? As anyone with an ileostomy can tell you, there are lots of scenarios where you will need to inform a friend, coworker, family member, or romantic partner about your ostomy bag. Instead of waiting for the topic to come up at an inopportune moment, it helps to take charge of the conversation. When you address the topic head-on, with a planned-out approach at […]
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How Do You Sleep With an Ostomy Bag?
Try these six steps to help you sleep soundly with an ostomy bag. A good night’s sleep is an important part of recovery after ileostomy surgery. Yet adjusting your sleep patterns with an ostomy bag will take some time and patience, especially in the early days. Fortunately, with some simple bedtime modifications, you can still enjoy a restful night of restorative sleep. 6 Tips for Sleeping with an Ostomy Bag Learning to live with your ostomy pouch shouldn’t necessitate major adjustments to your lifestyle. Here are six tips that will help you get the sleep you need: Empty the Bag Before Going to Bed. Immediately before you slip into bed, […]
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How to Manage an Ileostomy Blockage
Learn the signs of a possible bowel obstruction and what you can do to clear it away.
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How to Manage Inflammatory Bowel Disease with an Ileostomy
Inflammatory bowel disease describes two distinct conditions, ulcerative colitis and Crohn’s disease. Both can be treated with an ileostomy. Inflammatory bowel disease (IBD) refers to two serious conditions that affect the intestines — ulcerative colitis (UC) and Crohn’s disease. Although both present similar symptoms — stomach pain, diarrhea, unintended weight loss, fatigue, and sometimes bleeding — UC and Crohn’s disease strike different parts of the digestive tract. In UC, the superficial lining of the large intestine and rectum become inflamed and marked with sores. Crohn’s disease is also an inflammatory disorder, but it’s concentrated within the inner layers of the digestive tract. UC occurs solely within the large intestine or […]
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How Do You Empty an Ostomy Pouch?
After your ileostomy surgery, you’ll need to know how to change your ostomy pouch. Here are some tips to make the process easier.
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How to Prevent Leaks with Your Ostomy Bag
Living with an ostomy means having to deal with the occasional leak. But you can prevent discharge by knowing how to care for your stoma and using the right appliances.
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What Can I Wear With an Ileostomy?
Good news: you don’t need to buy a new wardrobe after an ileostomy. You can still wear your favorite styles with a few adjustments.
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How Long Does It Take to Recover from an Ileostomy?
An ileostomy doesn’t have to mean a drastic change in your lifestyle. Here’s what to expect as you recover.
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The Symptoms of Ulcerative Colitis — and How Surgery Can Help
Ulcerative colitis still does not have a known cure, but a variety of treatment options, including surgery, can help eliminate life-threatening complications.
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Your Guide to Embracing Life with an Ostomy
Getting an ostomy can be a difficult adjustment, but you can still enjoy nearly all of your favorite activities by following a few simple tips.
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How Does an Ostomy Work?
There are different types of ostomies for different lifestyles and gastrointestinal conditions, each with its own unique considerations.
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How to Care for the Skin Around Your Stoma
Caring properly for the skin around your stoma can help you avoid discomfort and stay active after your ileostomy or colostomy.
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5 Simple Tips for Colostomy Pouch Care
By following a few simple tips, you can keep your stoma and pouch in good condition at all times — and enjoy a high quality of life.
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Managing the Risk of Dehydration With an Ileostomy
Dehydration is a common challenge for people who’ve had an ileostomy, but being mindful about your diet goes a long way toward keeping you healthy.
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Can You Play Sports With an Ostomy?
You can enjoy your favorite sports and activities after ostomy surgery, but it’s a good idea to take some precautions to protect the stoma.
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Questions to Ask Before Your Colostomy
Learning as much as you can before your colostomy will make the transition to life after surgery much easier.
Read MoreManaging the Risk of Dehydration With an Ileostomy
For those with painful gastrointestinal conditions, an ileostomy offers a way to return to a healthy and fulfilling life. An ileostomy is a significant operation that not only requires mental and physical preparation, but also necessitates a few lifestyle adjustments as well. These changes can include special diets and ensuring that you have easy access to a bathroom so you can change or empty your bag at any time of day. People with an ileostomy also need to carefully monitor their fluid intake in order to avoid dehydration, which means that your body is losing more liquid than it’s taking in. One study found that 29 percent of ileostomy patients […]
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What Is a Colostomy Reversal?
In some cases, a colostomy can be reversed. Here’s what patients need to know about colostomy reversal, including what to expect before and after the procedure.
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What to Expect During Your Ileostomy Recovery
Once your ileostomy surgery is over, you’ll want to get back to your everyday life. Here’s a roadmap to a successful recovery.
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What Kind of Diet Should You Follow After a Colostomy?
With some minor adjustments, you can enjoy a regular diet after your colostomy.
Read MoreDo I Need a Colostomy?
When it comes to treating certain intestinal disorders like cancer or inflammatory bowel disease, a colostomy may be the best option. If you’ve been diagnosed with a serious intestinal disorder, a colostomy can help manage your symptoms and improve your quality of life. The procedure not only eradicates a potentially life-threatening condition — such as inflammatory bowel disease, colorectal cancer, or diverticulitis (an inflammation of the small sacs along the colon) — but also helps restore normal bowel function. Depending on your specific condition, a colostomy may be permanent or performed as a temporary fix to allow the intestines to heal from disease. With proper after-care, education, and support, people […]
Read MoreSuffering from Crohn’s Disease? An Ileostomy Can Help
Crohn’s disease — an inflammation of the gastrointestinal tract — can be painful and debilitating. Fortunately, an ileostomy may help improve patients’ prognosis. Crohn’s disease is a chronic inflammatory bowel disease (IBD) that affects as many as 780,000 Americans. It typically appears in individuals between 15-35 years of age, causing persistent flare-ups that put patients at risk for colorectal cancer. Crohn’s impacts the small intestine and beginning of the colon and is sometimes confused with colitis, a form of IBD that only affects the colon. People with the condition can experience a range of symptoms, including frequent diarrhea, rectal bleeding, persistent vomiting, abdominal pain and cramps, sudden weight loss, and […]
Read MoreHow Many Times a Day Do You Empty a Colostomy Bag?
Lifestyle adjustments after a standard ileostomy may include special diets, along with numerous daily (and nightly) trips to the bathroom to empty or change your bag. With a conventional ileostomy procedure, or Brooke ileostomy, your body waste is continually routed to an external colostomy bag. Waste collects in the bag and must be emptied at intervals throughout the day and night. Emptying your bag promptly helps you avoid leaks, odors or digestive problems due to a too-full bag. Here we’ll provide some general guidance about when to empty your colostomy bag. Guidelines for Emptying a Colostomy Bag According to the ASCRS (American Society of Colon and Rectal Surgeons), your body […]
Read MoreHow Do You Prevent Gas When You Have a Colostomy?
If you have a colostomy, gas can be a big problem. Since you have no control over when gas is released from your stoma, you could be in for an embarrassing situation. If the gas accumulates in your colostomy bag, it could expand causing leakage and odor. While everyone has some amount of gas, if you experienced a significant amount before your colostomy surgery, it’s very likely you will afterward, too. Fortunately, there are ways to control flatulence even after colostomy surgery. Change Your Diet What you eat plays a big role in the amount of gas you could experience. Eat limited amounts of gas-inducing foods like • Cabbage, • Onions, • […]
Read MoreDo Colostomy Bags Stink? Four Ways to Fix the Problem
We wish the answer to this question was an unequivocal “no,” but that’s not always the case. Colostomy bags can have an unpleasant odor, causing embarrassment for patients who wear one. There are ways to prevent smells from your colostomy bag. Here are four ways to avoid sharing odors with others. Avoid Food and Drinks that Cause Gas Reducing the number of gas-inducing foods and drinks you consume can help prevent odors. Carbonated beverages like beer and soda cause gas to quickly build up in the colostomy bag. And unfortunately, some of the healthiest foods you eat sometimes cause your body to produce excess gas. Broccoli, cauliflower, beans and cabbage are […]
Read MoreCan you shower with a colostomy bag?
If you have an ileostomy, the thought of showering with a stoma bag can be, well, icky. What if the stoma leaks while you’re showering and you get stool on your skin. While it’s easy to immediately rinse it off, anxiety and worry could cause showering to become a stressful, unpleasant experience. It’s Your Choice So can you shower with the bag on? You can if you have a waterproof system. In fact, in some cases, the heat and steam of the shower will help the bag adhere better to your skin. If your system isn’t waterproof, you will probably need to remove the bag before hopping in the […]
Read MoreIs a colostomy bag permanent?
"Will I have to wear the colostomy bag the rest of my life?" That’s usually the first question patients ask when discussing a conventional ostomy. And while it would be great if there was a definitive answer, its truth is, it depends. Many variables play into an ostomy reversal. Fortunately, if you are a candidate, many options will help you maintain fecal continence. Who is a candidate for an ostomy reversal? Most importantly, a patient must be in good overall health. That’s because the procedure requires a surgical procedure followed by several days in the hospital. Reversing an ostomy may depend on why you had it performed in the first place. […]
Read MoreIs Surgery Necessary for Ulcerative Colitis?
If you’ve been diagnosed with ulcerative colitis or UC for short, it means the lining of your colon and rectum are inflamed. When you have this condition, you may have periods of remission and flare-ups when you have active symptoms. You can go weeks ― or even years without symptoms. When symptoms occur, they could include: •Bloody or pus-laden diarrhea •Stomach or abdominal pain •Fever •Urgent bowel movements •Pain when you have a bowel movement •Dehydration What is the Treatment for Ulcerative Colitis? Many newly diagnosed UC patients wonder what the treatment is for their condition. Many wonder if they will have to have surgery. The good news is that […]
Read MoreWhat is the life expectancy of someone with ulcerative colitis?
Despite being a life-long disease that requires daily management, ulcerative colitis (UC) is generally not life-threatening. Most people with the condition live the same number of years as their peers without UC. What is Ulcerative Colitis? Ulcerative colitis occurs when your body’s immune system mistakenly attacks your intestines. The result is sores and inflammation in your colon, leading to: •Abdominal cramping, •Bloody and/or mucous-filled stools, •Incontinence, •Weight loss, •Fatigue. What is the life expectancy for someone with UC? People with UC live as long as people without UC. In fact, a Danish study that followed nearly 1,200 patients over 35 years found only 25 of the patients’ deaths were due to complications […]
Read MoreWhere is the J Pouch Located?
Ileostomy surgery, including J-pouch or advanced BCIR (Barnett Continent Intestinal Reservoir) procedures, provides your body with a new way of storing and passing stool, without using an external appliance, which can greatly improve your quality of life. It’s natural (and wise) of course, to get all the details about the procedure before you, or a loved one, undergo this surgery. One of the most common questions we receive about the J-pouch is, "where is it located?" Let’s take a closer look at the ileostomy procedure and the J-pouch location. Proper Placement of the J-Pouch The success of the J-pouch procedure is closely related to your surgeon’s skill and experience in the range of ileostomy types. Correct […]
Read MoreTips for Living with a J Pouch
Living–and living well–after a j-pouch procedure is not only possible but very common. The keys are to be patient with yourself as you gain experience and to follow our tried-and-true J-pouch success tips. With a little time and proper ileal pouch education, you’ll soon retrain your body and become comfortable with new routines. Managing an Active Life after J-Pouch Surgery It’s important to remember that, once you learn to manage daily activities with your J-pouch, you’ll feel better, and be healthier, than you were before the procedure (when you were dealing with severe ulcerative colitis symptoms). Here are expert tips for success after your ileal pouch-anal anastomosis surgery, both from the leading BCIR (Barnett Continent […]
Read MoreWhat Are the Symptoms of a Blocked Stoma?
After an ileostomy, a partially or completely blocked stoma can occur when eating a fiber-rich diet or failing to chew food completely. In other cases, scar tissue or bowel adhesions may block the passage of waste. Adhesions are caused by internal scarring. They are bands of fibrous tissue that can form after a surgery, connecting abdominal tissues and/or organs so that they stick together. No matter the cause, stoma blockage can be a medical emergency. Here’s how to recognize the problem and get proper care. Symptoms of Bowel Obstruction These are signs of stoma or bowel blockage, in approximate order of seriousness: Continual spurts of very watery stool Stool may have a […]
Read MoreHow do You Care for an ileostomy?
The stoma is a small piece of your intestine that is brought to the outside of your abdominal area during ostomy surgery. Your ostomy may be permanent or temporary, and through this new opening, waste can leave the body. Even though it may seem complicated learning to care for an ileostomy at first, never fear. With practice, it should soon become a routine part of your day. This guide should help you learn to change your pouch and keep your skin comfortably free of irritation. How to Keep Stoma Area Skin Healthy Take good care of the stoma because waste that comes out can irritate skin. Here are some tips to avoid […]
Read MoreWhat is Normal Output for an Ileostomy?
After undergoing an ileostomy procedure, your body will eliminate waste differently and here we’ll explain what type of waste output (effluent) you can expect. An ileostomy is performed when the colon and rectum have been removed or are not functioning properly, so waste will no longer pass through them, but will instead be collected in an ileostomy pouch or bag. Waste Elimination After Ileostomy When you have a standard or conventional ileostomy surgery, the end of your small intestine (the ileum) is attached to your abdominal wall and a stoma (surgically created opening) is created in your lower abdominal area, essentially bypassing your colon (large intestine) and rectum. After surgery, […]
Read MoreWhat does stool look like from an ileostomy?
Understanding Your Stoma and Stool With Ileostomy Specialist Dr. Don Schiller Dr. Don Schiller is a Los Angeles-based ileostomy specialist who has helped thousands of patients manage diseases and conditions—including inflammatory bowel disease, ulcerative colitis, colon cancer, and pelvic trauma—that affect the way their body excretes solid waste (feces). If you’re planning to undergo an ileostomy procedure, you probably have a lot of questions. Beyond the most common and understandable questions, our patients ask us, including "Can I live a normal life with an ileostomy?" (the answer—YES!), Dr. Schiller also receives other questions which some people may feel embarrassed to ask. One example is the following: "What will my stool look like […]
Read MoreIs an ileostomy permanent?
Ileostomy surgery is performed to “bypass” the colon or large intestine, allowing stool to be removed from the body through the small intestine before it has a chance to enter the colon. During ileostomy surgery, the end of the small intestine (called the ileum) is “disconnected” from the colon and attached to the abdominal wall, creating an opening called a stoma. As waste is produced by the small intestine, it’s collected either in an external pouch or internally (sometimes called a K-pouch ileostomy or a continent ileostomy). Both internal and external pouches need to be emptied regularly, but internal pouches allow the patient greater control over when the waste is […]
Read MoreCan you poop when you have an ileostomy?
Every year in the U.S., more than 100,000 people undergo ostomy surgery, including ileostomy procedures for bowel problems like colon cancer and Crohn’s disease. Some studies estimate between a half million and 750,000 people in the U.S. have some type of ostomy, including both temporary and permanent ileostomies. While ileostomies aren’t uncommon, living with an ileostomy – whether it’s temporary or permanent – does require some adjustment, and most people who undergo the surgery have lots of questions. One of the most common questions concerns bowel movements – specifically, how food waste is evacuated from the body when the colon (or large intestine) and anus are no longer “in use.” […]
Read MoreCan You Reverse an Ileostomy?
An ileostomy is a type of surgery in which a surgeon creates an opening in the abdominal wall and then attaches the end of the small intestine to this opening. This is done so that waste can be excreted into a bag adhered over the opening, instead of having to be excreted through the typical digestive tract. This may be necessary for people with conditions such as Crohn’s disease, ulcerative colitis, rectal or colon cancer, and congenital defects. At The Center for Ileostomy Surgery at Olympia Medical Center, ileostomy specialist Dr. Don Schiller, MD, FACS performs many types of ileostomy procedures with true excellence in care and best-practice techniques. In many cases, ileostomies are permanent and become a part […]
Read MoreWhat Is K-Pouch Surgery?
Every year, thousands of men and women have their large intestine and rectum removed as a result of serious bowel diseases like ulcerative colitis and familial adenomatous polyposis. And for many of those people, wearing an external colostomy bag is part of their day-to-day reality. While external bags perform an important “job” by collecting waste that can no longer be eliminated through the rectum, they also pose some significant disadvantages to those who wear them, including the continual worry over potential leakage of gas and odors, as well as restrictions on the type of clothing that can be worn and the activities these patients can enjoy. The result: High levels […]
Read MoreWhat is the Difference between a Colostomy and Ileostomy?
A colostomy and an ileostomy are both surgical procedures in which a surgeon creates an opening in the skin as a way for waste products to leave the intestines. While the colostomies and ileostomies may seem similar at first glance, they are really quite different. Colostomies and ileostomies are types of ostomies. An ostomy is any procedure in which the surgeon brings part of an internal organ through an opening in the skin so that waste products can leave the body. A bag worn on the outside of the body collects the waste products. Doctors perform colostomies and ileostomies for conditions affecting the digestive tract. Specifically, surgeons perform colostomies and […]
Read MoreWhere is the Ileostomy Placed?
Ileostomy surgery is a lifesaving procedure that allows a person to enjoy a full range of activities, such as traveling, sports, work and family life. Placement of the ileostomy is very important to a good outcome. An ileostomy is a type of ostomy, which is a procedure in which a surgeon brings part of the intestine to the outside of the body to create a stoma. After an ileostomy, the patient’s digestive wastes will pass through the stoma into a pouch instead of through the anus. Doctors perform ileostomy for patients who have had some sort of injury or illness to their intestinal tract. The procedure allows the patient’s body […]
Read MoreHealthy Eating With Your J-Pouch
Good nutrition plays an important role in maintaining health for anyone, and it’s especially essential for you if you have an ileoanal J-Pouch. Healthy Eating Tips With Your J-Pouch Below are tips to follow for healthy eating as your body adapts to your ileostomy and digestive system. Always follow your surgeon’s results for optimal recovery from your j-pouch surgery. Follow a soft, low-residue diet initially. A low-residue diet is designed to decrease the amount of stool in your digestive tract and is a low-fiber diet. Eat a balanced, nutritious diet. Strive to include foods from all four food groups with every meal. That includes fruits, vegetables, protein and starches in your […]
Read MoreTips for dealing with Ileostomy
If you have certain conditions, such as cancer or adenomatous familial polyposis, having an ileostomy may be the best course of action to protect your health. Although living with an ileostomy may not be an ideal situation, you can maintain your quality of life with the right preparation. Here are some tips to help you deal with your ileostomy and live a full life for many years to come. 1. Understand the options available. Several different types of ileostomies are available, including a conventional ileostomy, J-pouch and Barnett Continent Intestinal Reservoir. Each of these options requires a slightly different procedure and will leave you with a different type of ileostomy. […]
Read More6 Reasons to Choose BCIR
If you are in need of an ostomy, you have several options to choose from, including the conventional ileostomy, J-pouch and Barnett Continent Intestinal Reservoir. However, not all of these options will provide you with the same advantages. Here are six reasons you should choose BCIR over the other options available. 1. The BCIR allows you to control the elimination. With BCIR, you will be able to decide when to empty the reservoir. Unlike a conventional ileostomy, which releases waste constantly, the BCIR allows you to empty waste when it’s convenient for you. 2. The BCIR won’t cause skin irritation. Because all of the components of the BCIR are made from your own […]
Read MoreWhy is BCIR called the Freedom Option for Ileostomy Patients?
BCIR surgery (the Barnett Continent Intestinal Reservoir procedure) makes living with an ostomy pleasantly similar to life before needing the procedure. BCIR is a major improvement on procedures developed earlier because it does not involve an external pouch for waste collection and elimination. BCIR Basics The external pouch used after traditional ostomy surgeries is often identified as the most difficult aspect for patients to adjust to and use easily, as they return to normal life. The BCIR creates a completely internal reservoir for waste collection, which offers patients discretion, and much more control over bowel movements. This self-sealing pouch is made from the patient’s own, natural body tissue. The collection […]
Read MoreDiagnosed with UC? Here are Your Ileostomy Alternatives
If you’ve recently been diagnosed with ulcerative colitis, you’ve probably discovered there’s no cure for the inflammatory bowel disease. Rather, as the condition progresses, you’ll have to find ways to manage the symptoms so you can stay in good health. For many patients, a colectomy, or removal of the colon (large intestine), is the best way to manage the disease. The colon serves to process and expel waste from the body, so when it’s removed, you’ll need a way to maintain fecal continence. An ileostomy is the solution. Essentially, an ileostomy creates an opening somewhere on the body where waste can be manually removed. Thanks to advances in modern medicine, there are several […]
Read MorePost Ileostomy Diet Tips
Your post-ileostomy menu need not be overly restrictive, but by making a few changes in your eating plan, you can prevent uncomfortable digestive symptoms. Patients can help prevent issues like constipation, diarrhea and unpleasant odors by limiting certain trigger foods. Since each individual is different, you can customize this list of foods to avoid after ileostomy by tracking your symptoms (or lack of symptoms) after eating these foods. Avoiding Constipation After Ileostomy Consuming the following foods, especially in larger quantity, can thicken the texture of waste products or add stickiness. You can counteract this in part by drinking plenty of water daily. Constipation increases the chance of a pouch blockage or […]
Read MoreComparing the BCIR and the J-Pouch
Patients may need an ostomy for several different reasons, such as colon cancer, familial adenomatous polyposis or severe ulcerative colitis. Regardless of the reason for your ostomy, you will have several different options to choose from. Two of the most popular options available are the J-pouch and the Barnett Continent Intestinal Reservoir, or BCIR. About the J-Pouch A surgeon creates the J-pouch by using a small portion of the small intestine to construct a reservoir. This reservoir connects the remaining part of the small intestine to the anal canal. This option allows you to control the elimination of waste to some extent. About the BCIR The BCIR is an option that […]
Read MorePreparing for the BCIR Procedure
The Barnett Continent Intestinal Reservoir, or BCIR, is a popular option for patients who need an ostomy because of colon removal. In order to ensure that the procedure is successful, you need to prepare for surgery properly. Below is some information to help you get ready for your upcoming BCIR procedure. Your Preoperative Appointment At your preoperative appointment, you will talk to your surgeon about the upcoming procedure. He or she will explain how the procedure works and what you can expect on the day of surgery. This is also your opportunity to ask any questions you may have about the procedure itself, preparing for the procedure and the recovery period. […]
Read MoreIBD Treatment Could Help Your Depression
Inflammatory bowel disease is strongly associated with symptoms of depression, according to a number of studies, including this NIH-published study from July 2017. Research has shown that people show signs of depression upon feeling symptoms of Crone’s disease and ulcerative colitis, both before and after IBD diagnosis. Although getting a specific diagnosis provides an emotional lift to some, effective treatment to control the symptoms makes the most difference in quality of life. The IBD/depression connection is logical since the pain and lack of control that patients endure with IBD often cause them to begin avoiding social situations and losing the social support that humans need. This can results in a […]
Read MoreExploring Your Ostomy Options
Certain conditions, such as ulcerative colitis and familial adenomatous polyposis, require the removal of the colon and the rectum. After having this procedure, you will need a new way to eliminate waste known as an “ostomy.” Several different ostomy options are available, each with different advantages and disadvantages. Conventional Ostomy In a conventional ostomy procedure, your surgeon will connect your small intestine to a stoma, which is a small opening in the wall of your abdomen. With this type of ostomy, your waste will flow into an external collection bag through this opening. This procedure can allow you to eliminate waste successfully, but it also has some disadvantages. Some of […]
Read MoreAdvantages of BCIR
If you need an ostomy, you can choose from several different options. Each of these options offers different advantages and disadvantages. However, after reviewing all of these options carefully, many patients discover that the advantages of BCIR make it the best choice. Below is some information about this procedure and its advantages. What Is BCIR? The Barnett Continent Intestinal Reservoir is a specific type of ostomy designed with the patient’s comfort and convenience in mind. During this procedure, the surgeon will take a small portion of your small intestine and use it to create an internal reservoir, or pouch, as well as a nipple valve. This pouch will store waste, and the […]
Read MoreAbout BCIR Recovery
Caring for your BCIR properly after surgery is important to ensure the success of the procedure and reduce the risk of complications. Below is some information about BCIR recovery and aftercare. Your Hospital Stay Immediately following the BCIR procedure, you will need to stay in the hospital for a while. In most cases, Dr. Schiller’s patients remain in the hospital for approximately two weeks. This is shorter than the hospital stay required by many other ostomy surgeons. While you are in the hospital, your surgeon will visit you on a daily basis to oversee the healing process and watch for any signs of a complication. You will also learn how to […]
Read MoreChoosing the Right Ileostomy Surgeon
An ileostomy is a major procedure that changes your life significantly. In order to ensure that you have the best quality of life following the procedure, you need to choose a qualified, experienced ileostomy surgeon. Below are some things to consider as you compare different surgeons. 1. The surgeon’s reputation. Perhaps one of the most important considerations when comparing ileostomy surgeons is the surgeon’s reputation. To learn about your surgeon’s reputation, read testimonials and reviews from past patients. Look for a surgeon with a strong record of success and patient satisfaction. 2. The surgeon’s credentials. Before choosing any ileostomy surgeon to perform your procedure, make sure you ask to see […]
Read MoreBCIR: When Your J-Pouch Fails
The J-pouch is one of the three main options available to patients who need an ostomy after colon removal. Unfortunately, the J-pouch doesn’t always provide the intended results. In fact, in some cases, the J-pouch fails completely. Dealing with a failed J-pouch can be very frustrating for patients. Fortunately, an experienced surgeon can resolve the problem by replacing your failed J-pouch with a Barnett Continent Intestinal Reservoir, or BCIR. What is the BCIR? A BCIR, which may also be referred to as a “continent ileostomy,” is an alternative to the J-pouch and the conventional ileostomy. During this procedure, your surgeon uses a portion of your small intestine to create an […]
Read MoreIleostomy Alternatives and Lowering Your CRC Risk
More than 147,000 people are diagnosed with colorectal cancer (CRC) in the U.S. annually, and nearly one-third of those diagnosed lose their lives, reports the Crohn’s and Colitis Foundation of America. Unfortunately, those who are currently living with ulcerative colitis or Crohn’s disease are more likely to develop CRC. However, ileostomy alternatives, including a Barnett Continent Intestinal Reservoir (BCIR) may be able to reduce this risk. How Does an Ileostomy Reduce Risk for Developing CRC? Every flare up of Crohn’s disease or ulcerative colitis causes additional damage to the colon. In some cases, medication treatment does not effectively manage the symptoms of Crohn’s or ulcerative colitis, and with repeat flare […]
Read MoreThe Different Ileostomy Options: Kock Pouch Versus BCIR
The Kock pouch and Barnet Continent Intestinal Reservoir (BCIR) are similar solutions to the problems with a traditional ileostomy. In fact, the BCIR actually refers to specific improvements made to the Kock pouch by Dr. Barnett, reports BCIR History. While some ileostomy risks and complications may remain with the BCIR, its key differences from the Kock pouch reduce the incidence of these risks and problems. Different Suture Layouts Reduce Risk of Developing Fistulas. Fistulas are one of the most problematic risks and complications of a Kock pouch. When a fistula develops, a person is more likely to suffer from leakage, septicemia and failure of the pouch, and the number of […]
Read MoreWhat You Need to Know About a Failed J-Pouch
A failed J-pouch can represent a significant risk to the health of those suffering from ulcerative colitis or Crohn’s. Unfortunately, failure of the J-pouch is commonly associated with rupture of the pouch, but in reality, the J-pouch can start to exhibit symptoms similar to inflammatory bowel disease, reports the study, “Inflammatory Pouch Disease: The Spectrum of Pouchitis.” As a result, those who have undergone surgery to create a J-pouch need to understand how to recognize the first signs of a failed J-pouch, including inflammatory pouch disease. What Is Inflammatory Pouch Disease? Inflammatory pouch disease (IPD) refers to the inflammation of the J-pouch, and it is most commonly seen in ulcerative […]
Read MoreUnderstanding BCIR: The New and Improved Kock Pouch
The Barnett Continent Intestinal Reservoir, or BCIR, is a revision to the Kock pouch that made several improvements on its design. If you are exploring ostomy options, or if you have a failed or troublesome ostomy, you may benefit from this procedure. About the Kock Pouch At the time it was created, the Kock pouch represented a significant advancement for patients requiring an ostomy. This pouch was created from the patients’ own intestines. Once in place, the pouch must be emptied several times per day using a silicone catheter. When the pouch is not being emptied, patients had to place an absorbent pad over the stoma in order to collect the […]
Read MoreColitis Treatment Options
Colitis Treatment Options Colitis is inflammation of the colon, also known as the large intestine or bowel. A variety of things can cause this inflammation, including infection, inadequate blood supply to the colon, inflammatory bowel disease, and diarrhea with abdominal pain. Colitis treatment mainly depends on the cause and the severity of your symptoms. Conservative treatment, such as drinking only clear liquids to rest the colon and using medications to control pain, works in many cases of colitis caused by diarrhea and abdominal pain. Sometimes infection, inflammatory bowel disease or diarrhea can make someone ill enough to need intravenous (IV) fluids and other medical treatments. A few people require surgery, […]
Read MoreOstomy Options That Give You the Freedom to Swim
If you have a traditional ileostomy, you know that while swimming is possible, it can be a challenge. You’ll need to secure your stoma with either an ostomy product to ensure there’s no leakage into the pool. Fortunately, there are ostomy options that will give you freedom to swim without worry. You’ll be able to jump right in the pool without taking time to secure your colostomy stoma. What are my ostomy options? Brooke ileostomy The traditional ileostomy is also called a Brooke ileostomy. It involves a stoma on your abdomen through which solid waste constantly flows into a colostomy bag. That’s why it’s difficult to swim. The bag won’t stay on in the water, […]
Read MoreThe Nuances of Living With a Brooke Ileostomy
An external ileostomy, which dispels waste into a pouch attached to the site of the stoma, commonly known as a Brooke ileostomy, is the most traditional form of ileostomy procedure performed. However, complications and major lifestyle changes may be necessary when living with this type of ileostomy, and you need to understand how these changes and complications could impact your life. What Are the Risks of a Brooke Ileostomy? Undergoing the procedure for a traditional ileostomy carries several risks, including infection, damage to surrounding organs, internal bleeding, intestinal blockage and the development of fistulas between the intestines and your abdominal wall, reports Healthline. The position and larger size of the […]
Read MoreIleostomy Alternatives Available to Patients
Ileostomies both save and change patients’ lives. Over the last two decades, doctors have developed a number of procedures to accomplish the work of an ileostomy. Understanding the ileostomy alternatives currently available can help reduce the stress associated with major surgery. What an Ileostomy Does Patients who require removal of their colon (large intestine) via a colectomy and those whose rectums must also be removed in a proctocolectomy need an alternative for waste to exit the body. The procedure known as a traditional or Brooke ileostomy came about in the 1950s, according to BCIRhistory.com. Some patients today still undergo this kind of surgery, either on a temporary or a permanent […]
Read MoreFailed Ileonal J-Pouch? Try the Continent Ileostomy Option
A significant number of people who have undergone removal of their large intestine (colon) and rectum for Ulcerative Colitis or Polyposis with creation of an ileoanal J pouch do not do well. That means they have to deal with multiple bowel movements every day (the normal range for a well-functioning J pouch is 4-7) and during the night. In addition, it means they may not have perfect control (continence), causing soiling or the need to wear a pad at all times. The cause of these difficulties include stricture of the intestine leading to the pouch or stricture of the pouch connection to the lower rectum/anal canal. When a stricture is […]
Read MoreHow to Properly Care For and Drain a Kock Pouch
A Kock Pouch is a viable option for those who must have their colons removed due to inflammatory bowel diseases, trauma or cancer. But how does the device actually work? And how hard is it to empty? Here’s a look at the mechanics of the Kock Pouch. How the Kock Pouch Works A Kock Pouch is created using your own intestines. After your colon is removed, a reservoir made from small intestine tissue. The reservoir is connected to your small intestine on one end and a stoma, or opening in the skin, on the other. The stoma is usually placed just above the pubic area. Waste accumulates in the reservoir which you empty several times per day. […]
Read MoreWhy a Doctor Might Recommend an Ileostomy
Total surprise is sometimes the reaction of a patient when a physician recommends an ileostomy. While many people are aware that this procedure is major surgery, few are familiar with the reasons why colorectal surgeons perform it or with any surgical alternatives available. What Exactly Are Ileostomies? They are procedures in which a colorectal surgeon directs the ileum—the end of the small bowel—through an opening in the abdomen called a stoma. This permits waste to exit the body through a bag or appliance affixed to the patient’s skin using adhesive products, according to BCIRhistory.com. Ileostomies are required after removal of the entire colon (large intestine), called a colectomy. The type […]
Read MoreUlcerative Colitis Treatment Options
An issue a patient diagnosed with ulcerative colitis must quickly tackle is exploring treatment alternatives. This might include seeing both a gastroenterologist and a surgeon. Fortunately, the list of ulcerative colitis treatment options continues to grow. Overview of Ulcerative Colitis Ulcerative colitis (UC) and Crohn’s disease are the two primary types of inflammatory bowel disease (IBD). UC is a chronic disorder affecting around 700,000 Americans, says the Crohn’s & Colitis Foundation of America (CCFA). UC is an inflammation of the lining of the colon (large intestine). Managing this type of IBD is a difficult for many patients, who must cope with symptoms like diarrhea, pain, rectal bleeding, and overpowering fatigue. […]
Read MoreThe Secret to Thriving After a Failed J-Pouch
The J-pouch has become a standard treatment after a colectomy and ileostomy for colon cancer treatment or prevention, familial polyposis, ulcerative colitis or other serious intestinal ailments, however, a failed J-pouch is somewhat common. Since the J-Pouch is created from the terminus of the small intestine, and then joined to the anal canal to provide for stool passage, there are a number of complications that may occur, during or after the surgery. After the ileoanal anastomosis surgery (J-pouch) procedure, some patients experience a failed J-pouch due to medical complications, or to lifestyle changes required to maintain it. Fortunately, for these patients, there are options. The most desirable and effective option for many (but not all) former J-pouch […]
Read MoreStudy Finds Stem Cell Transplant Not Effective for Crohn’s Disease
A study has found that stem cell transplant is not a viable option for patient with refractory Crohn’s disease. The disease did not stay in remission at the one-year mark, and patients who received stem cell transfers may experience significant toxicity. The study, the Autologous Stem Cell Transplantation International Crohn Disease (ASTIC) trial, was published in the Dec. 15 issue of JAMA. “These findings do not support the widespread use of [hematopoietic stem cell transplant (HSCT)] for patients with refractory Crohn disease,” wrote lead researcher Christopher J. Hawkey, FMedSci, from Queens Medical Centre, Nottingham, United Kingdom. Therefore, if Crohn’s disease can’t be controlled with immunosuppressive medications and lifestyle modifications, removal of the […]
Read MoreAre There Better Ostomy Options than Standard Brooke Ileostomy?
After the removal of the colon (large intestine) and rectum, the conventional Brooke ileostomy is the traditional surgical ostomy technique used to re-enable the elimination of waste from the body. Basically, the ileostomy specialist connects the remaining small intestine to a newly created opening in your abdominal wall, called a stoma. Once this is done, body waste goes through the shortened intestine and is eliminated continually through the stoma into a collection bag, or external appliance. In this way, waste can safely exit the body. Unfortunately, there are many unwelcome effects that come with this solution, including wearing a collection bag, which could leak, constantly throughout the day and night. This […]
Read More5 Ways a Failed J-Pouch Puts Your Health at Risk
Made from the end of the small intestine and attached to the anal cavity to create a passageway for stool, a J-pouch is a type of reservoir surgeons create when they remove the colon and rectum of patients with the digestive disorders, ulcerative colitis or familial polyposis. J-pouches work well in most cases but can sometimes fail. Since its introduction in the 1970s, surgeons regard the J-pouch as the go-to surgical intervention for chronic ulcerative colitis and familial polyposis. While it is the gold standard treatment, post-operative complications from a failed J-pouch can put your health and well-being at risk in at least five ways. 1. Pelvic sepsis Pelvic sepsis […]
Read MoreSocial Media Shines Spotlight on Ostomy Options
In recent months, social media has been abuzz with pictures, videos and stories about people living with ileostomies. Take 19-year-old Leanne Hammond. She posted a selfie that showed her ileostomy bag. Her intent was to educate people and challenge taboos about ostomy options. According to a popular women’s magazine, some 50,000 people have seen the photo. “There’s nothing to be ashamed of because it shows the battle you’ve fought! Life continues the same way as it did before ileostomy. If you are positive, anything that has the power to save your life should be flaunted!” Hammond told Cosmopolitan. Azmina Verjee, a British women who battled Crohn’s diesease before being fitted with an ileostomy, […]
Read MoreHave Ulcerative Colitis? Speak with a Colorectal Surgeon
If you have ulcerative colitis or another auto immune disorder that may require the removal of your colon, don’t wait until it’s too late to find a colorectal surgeon. Doing so may land you in an operating room with an unfamiliar surgeon who only offers the Brooke ilesotomy or typical ostomy with a bag. If you don’t research physicians and types of ileostomies, you could later discover that you missed an opportunity for a more convenient ileostomy that offers bag-free living. Why do people with colitis need ileostomies? People with ulcerative colitis live with chronic inflammation that causes belly pain, bloating, cramps, diarrhea and loss of appetite. The condition can also cause polyps that grow quickly and can become […]
Read MoreOral Colitis Treatment and Curcumin
A potential new treatment for ulcerative colitis has possibly emerged, according to findings published in the journal Colloids and Surfaces B: Biointerfaces. Colitis treatment may one day be possible using an oral microparticle from curcumin, an anti inflammatory agent extracted from herbs. Biomedical researchers at Georgia State University used animal models of ulcerative colitis and introduced a drug comprised of a biocompatible polymer and filled with curcumin. Previous research showed curcumin decreased inflammation in animal model of colities, and has been found to reduce the rate of relapse in animals. “Orally administered microparticles may offer an efficient drug delivery system because they are characterized by a high drug loading capacity and may target colitis tissues based on […]
Read MoreWhen is an Ileostomy Necessary?
Use of an ileostomy has saved many patients’ lives. It has greatly improved the quality of life for others who have chronic illnesses. Some of the most common questions patients and their families have pertain to when this surgery is necessary. Exactly What is an Ileostomy? Ileostomies are surgical procedures used to provide an alternative way for waste to leave the body after removing the colon, rectum, and anus. In a traditional procedure, a surgeon creates an opening in the abdomen, then brings the end of the ileum – the terminal portion of the small intestine – through this opening, called a stoma. The final step is attaching this last […]
Read MoreColitis Treatment: A Multi-Faceted Approach
Today, there is no known cure for ulcerative colitis (other than surgery to remove the colon), but the good news is that there are a variety of colitis treatment options to enable individuals to manage this chronic disease and live a full life. Treatment for ulcerative colitis often involves a combination approach, that includes diet, medication, and surgery. What is Colitis? Colitis is a disease that involves the colon. With colitis, the inner lining of the colon is inflamed. This inflammation can cause a variety of symptoms including: Diarrhea (with or without blood) Fever Chills Abdominal pain Other symptoms may include: Bloating/Abdominal Distention Cramping Weight Loss Loss of Appetite Mucous […]
Read MoreKock Pouch Basics
The Kock Pouch is one of the options available to people who need to have the colon removed because of ulcerative colitis or another chronic conditions affecting the large intestine. Below is some basic information about this option to help you understand how it works. History of the Kock Pouch The Kock Pouch was developed in 1969. It was the first continent ileostomy. This means that, instead of relying on an external collection bag, patients with a Kock Pouch were able to retain waste in an internal reservoir until they were ready to go to the bathroom. How a Kock Pouch it Works A surgeon creates the Kock Pouch using […]
Read MoreOstomy Treatment Options to Avoid IBD-Related Anxiety
If you have inflammatory bowel disease like Crohn’s disease or ulcerative colitis, you are at increased risk for an anxiety disorder, a new study suggests. “Patients with IBD face substantial chronic physical problems associated with the disease,” says lead author Esme Fuller-Thomson, a professor at the University of Toronto. “The additional burden of anxiety disorders makes life much more challenging so this ‘double jeopardy’ must be addressed.” Nearly 300 adults with a diagnosis of an inflammatory bowel disease were studied. Researchers found these patients were twice as likely to have had a generalized anxiety disorder at some point in their lives than adults without Crohn’s or colitis. For women, the risk increases exponentially. Women were four times more likely […]
Read MoreHow an Ileostomy Surgeon Can Help Crohn’s Disease Patients
In their lifetimes, most patients with Crohn’s disease undergo a combination of medical and surgical treatments. Some will require the services of an ileostomy surgeon. Understanding how these doctors can help is a key to reducing patient stress and anxiety. Overview of Crohn’s Disease Crohn’s is one of the two main inflammatory bowel diseases. The other is ulcerative colitis. According to the Crohn’s & Colitis Foundation of America (CCFA), this digestive disorder affects around 700,000 U.S. patients and typically appears between ages 15 and 35. Although it can strike any portion of the digestive tract, the small and the large intestines are the most common sites. The specific cause remains […]
Read MoreRecognizing a Failed J-Pouch
The ileoanal J-pouch is a common surgical option offered to individuals that need to have the colon removed in order to treat certain illnesses, such as ulcerative colitis or familial polyposis. However, in some cases, this option fails or doesn’t work as well as it should. The information below will help you learn how to recognize a failed J-pouch and deal with it appropriately. What is a J-Pouch? A J-Pouch is a surgical procedure that involves the creation of a reservoir from part of the intestines. This reservoir is connected to the anal canal in order to allow for the passage of waste. If you have an ileoanal J-pouch, you […]
Read More5 Tips for Your Post Ileostomy Diet
If you’ve had an ileostomy, you may have questions about the type of foods you should eat. While there are some general guidelines, your diet depends in large part on how much of your small intestine was removed and how much time it has had to adapt to the ileostomy. In addition, the type of ileostomy you’ve had will play a role in your diet. If have a continent ileostomy (no appliance) your diet will differ from someone who has had an incontinent ileostomy and must use an appliance. Ileostomy Diet Tips Here are some tips for general reference. If you have specific questions, please consult your ileostomy clinic for information specific to your case. 1. For […]
Read MoreBCIR Treatment Brings Freedom for Ostomy Patients
If your conventional ileostomy frustrates you with hard-to-predict, stressful, awkward and sometimes messy maintenance needs, you’re not alone. This is why patients so often seek treatment at The Center for Ileostomy Surgery at Olympia Medical Center. The Center specializes in the BCIR surgery, the BCIR treatment for an ileostomy that has brought improved quality of life to thousands of patients here in the Los Angeles area. How BCIR can Change Your Life During the BCIR (Barnett Continent Intestinal Reservoir) procedure, your surgeon meticulously constructs an interior pouch or reservoir from your existing intestinal tissue and connects it to your stoma. This reduces maintenance to emptying the stoma into a toilet (via a catheter) as few as three times daily. […]
Read MoreWhat Are My Ostomy Options?
Certain diseases, such as ulcerative colitis or familial adenomatous polyposis, make it impossible for your colon to function normally. If you are dealing with either of these conditions, having your rectum and colon removed may be the only way to prevent complications and alleviate the symptoms you are experiencing. However, once these parts of your intestine have been removed, you will need an ostomy, which is an opening in the body that allows for the removal of waste. In most cases, you will be able to choose from several ostomy options. These options include: Ileoanal J-Pouch One of the most common choices among ostomy patients is the ileoanal J-pouch. The […]
Read MoreWhen Should I Have an Ileostomy Reversal?
If you’ve had a temporary ileostomy due to colon cancer or another condition, you’ll probably have it surgically reversed at some point. But is there a preferred time frame for having an ileostomy reversal? In general, there’s not. Theoretically, you could have a temporary ileostomy reversal several years after the original surgery occurred. However, according to a Feb. 2015 meta analysis, the sooner patients have reversal surgery, the better their functional outcome will be. The study found that ileostomy closure within three months led to a better functional outcome for patients, in terms of fecal continence. Patients who wait longer than three months to have a reversal experience less continence. While there’s no clear evidence […]
Read MoreWhen Medicine and Diet Aren’t Effective for Colitis Treatment
If you suffer from ulcerative colitis, you’ll do just about anything to get relief from the cycle of cramping and bloody diarrhea that comes with the condition. Since there’s no cure for colitis, you’ll likely have to try several options before finding an effective, long-term solution. Drug therapy and dietary changes The first course of action for colitis treatment is usually a combination of prescription drug therapy and changes to your diet. Your doctor will recommend medications to suppress your symptoms and keep your colitis in remission. He or she may also give you drugs to increase the amount of time between flare ups and reduce the severity when they do occur. Along with drugs, […]
Read MoreIs the Kock Pouch Right for You?
Facing an ileostomy is a life changing event, but medical science is finding ways to improve the process. The old school method of dealing with waste for those who have their colon removed due to trauma or disease was cumbersome and could be disabling. With advanced treatment options like the Kock pouch, these patients are finding ways to live their lives without the constant worry that comes with an external bag system. How do you know if you are a candidate for a K-pouch, though? What is a K-Pouch? The Kock, or “K,” pouch is a continent ileostomy, meaning the surgeon reconfigures the small intestine so waste is kept inside […]
Read MoreWhat You Need to Know About a Failed J-Pouch?
The J-pouch design helps those who suffer from Ulcerative Colitis or Familial Polyposis to live bag-free, but are there risks of this innovative surgery? The J-pouch is the traditional intervention, but when the procedure fails, it can have life-threatening consequences. Making smart health choices means being informed, so consider how a failed J-pouch can affect your life and what other options are out there. What is a J-Pouch? A J-pouch is an internal reservoir surgically created to hold stool. It utilizes the ileum, or end of the small intestine, and the anus. During the procedure, the terminal ileum is sewn back onto itself to form the letter “J.” This design […]
Read MoreUnderstanding My Upcoming Ileostomy Surgery
Ileostomy surgery is performed for a number of different reasons involving various medical diseases and health conditions. It is usually performed when a disease or bowel damage cannot be treated through non-surgical methods. The most common reasons for having this type of surgery is when the patient has an inflammatory bowel disease, which includes ulcerative colitis and Crohn’s disease. In addition, individuals with Familial adenomatous polyposis (FAP) who have polyps inside the large intestine which may become cancerous may require this type of surgery. Ileostomies are also performed in some cases of cancer. Not all ileostomies are permanent; some can be a short-term solution that can be reversed through an ileostomy […]
Read MoreMild and Severe Ulcerative Colitis Treatment
Ulcerative colitis treatment depends on the severity of the condition. For mild cases, individuals are able to control the disease through diet and stress reduction actions. For people whose colitis is more severe or becomes at risk for developing colon cancer, medications, which may include immunosuppressants, anti-inflammatory medications, steroids, and antibiotics, and/or surgery are indicated. Up to about half the patients who have ulcerative colitis may need to have surgery at some point in their lives in order to cure the disease. After having a discussion with their physician, some patients need to have surgery for their ulcerative colitis to redue their risk of colon cancer. Mild Ulcerative Colitis Mild symptoms of […]
Read MoreCoping With the Emotional Impact of Colitis
Chronic disease like ulcerative colitis or Crohn’s disease can cause patients a good deal of anxiety and emotional distress. For some, the condition can lead to severe depression which requires treatment and possibly drugs from a mental health professional. To lessen the emotional impact of these chronic intestinal diseases, consider two options. First, seek out emotional support from a therapist or an in-person or online support group. But since there’s no cure for colitis or Crohn’s, you’ll probably have to consider surgical ileostomy alternatives to improve your quality of life. What are My Surgical Ileostomy Alternatives? Ileostomy surgery is required when your colon and rectum must be removed due to a medical condition like ulcerative colitis, Crohn’s disease, cancer or familial adenomatous polyposis. Without […]
Read MoreIs a BCIR the Same Thing as a Kock Pouch?
Are these two separate surgical procedures or different names for the same treatment? If you have a severe bowel disease like Crohn’s or ulcerative colitis, then the doctor might be discussing surgical options with you such as the Kock Pouch or Barnett Continent Intestinal Reservoir. Understanding the difference will help as you prepare for your surgery. What is a Kock Pouch? The Kock Pouch is an alternative to a traditional ileostomy that requires no external bag to collect waste material. It was developed in 1969 by Dr. Nils Kock. During this surgery, the doctor modifies the terminal ileum (the last part of the small intestine) to create a pouch. A […]
Read MoreFailed J-Pouch: Now What
In a perfect world, surgical interventions like a J-pouch would never fail, but that is not the reality. With ileoanal anastomosis surgery, or J-pouch, people with ulcerative colitis or familial polyposis are able to leave a life without an external bag. This procedure creates a J-shaped internal pouch that collects waste. People with a J-pouch are still able to eliminate stool through the anus, as opposed to draining the pouch with a catheter. The downside to the J-pouch is the possibility of failure. When that happens, it may be necessary to have further surgery to correct the problem. What is J-Pouch Surgery? Ileoananl anastomosis surgery, or J-pouch, allows people to eliminate […]
Read MoreYour Ostomy Options
There are three main ostomy options available today for anyone who needs to undergo removal of the colon and rectum, usually due to ulcerative colitis or familial adenomatous polyposis. Your Ostomy Options After removal of the colon and rectum, a surgeon must create a new path for eliminating intestinal waste. There are currently three ways to do this and they are BCIR, a traditional ostomy, and the J pouch. Traditional Ostomy The conventional ostomy, known as the Brooke ileostomy or Koch Pouch, has been around since the 1950s. The surgeon removes the large intestine and brings the end of the small intestine through the abdominal wall. The doctor […]
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Colitis Treatment – The Bagless Option
Ulcerative colitis is a common inflammatory bowel disease. More than one million people in the U.S. are estimated to have inflammatory bowel disease. According to the Centers for Disease Control and Prevention, up to 246 cases per every 100,000 people are estimated to have ulcerative colitis. Slightly more men than women are impacted by ulcerative colitis. Ulcerative Colitis Treatment Colitis Treatment depends upon the severity of the disease. Many mild cases can be treated with dietary changes and medications. Medications used to treat mild cases of colitis include steroid medications and antidiarrheal medications. Aminosalicylates may also be prescribed to relieve inflamed intestines. Some people, though, have severe and long lasting systems […]
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History of the Kock Pouch and BCIR
The Kock Pouch and BCIR have provided comfort and convenience for nearly 50 years to patients who needed certain types of surgery for severe bowel disease. More than two million Americans suffer from severe bowel disease, including ulcerative colitis, Crohn’s disease and cancer, according to the BCIR website. In some cases, patients require removal of the entire small intestine when an injury or disease prevents the large intestine from safely processing intestinal waste. Until the late 1960s, the only treatment choice available to these patients was a Brooke ileostomy, a procedure that brings the end of the small intestine, known as a stoma, to the outside of the patient’s abdomen. […]
Read MoreExploring Ileostomy Alternatives
For people with certain chronic diseases of the colon, such as familial polyposis or ulcerative colitis, removal of the colon is often the best treatment. However, once the colon is removed, the patient must still be able to eliminate waste from his or her body. To allow the removal of waste, surgeons create an ostomy, which is a passage through which waste products can flow. Traditionally, most patients received a conventional ileostomy. With this type of ostomy, the entire colon and rectum are removed, and the patient’s waste flows through a hole in the abdomen. Because waste flows continuously, the patient is forced to wear an external collection bag, which […]
Read MoreWhat is Ileostomy Surgery?
Ileostomy surgery is a type of medical procedure to create an ileostomy, an opening in the abdominal wall through which the lowest part of the intestine passes. Doctors perform ileostomy surgery to treat a variety of diseases and medical problems, including ulcerative colitis, Crohn’s disease, familial polyposis, and cancer, according to the American Cancer Society. An ileostomy is a type of ostomy, which is an artificial opening in the abdominal wall that a surgeon creates to allow the elimination of waste from the body. The surgeon first creates the opening, removes the section of diseased intestine or other body tissue, then pulls the healthy end of the organ through the […]
Read MoreRevising a Failed J-Pouch
The Ileoanal J-pouch is one of three primary options for patients who require an ostomy. Although the J-pouch offers a few notable advantages for patients, it fails up to 15 percent of the time. Fortunately, even after a patient has experienced a failed J-pouch, effective treatment is still available. If your J-pouch fails, one of the easiest ways to fix the problem involves converting the J-pouch to a Barnett Continent Intestinal Reservoir (BCIR). Although the BCIR won’t operate exactly as the J-pouch, it effectively resolves the problems associated with the failed J-pouch and provides the patient with substantial freedom. About the BCIR The BCIR, which may also be called the […]
Read MoreUnderstanding Your Ostomy Options
An ostomy is a surgical procedure that involves creating a new opening in the body for the discharge of waste. You may need this procedure if you have a chronic illness, such as ulcerative colitis or familial polyposis. Three basic ostomy options are available for patients today: the Brooke Ileostomy, Ileoanal J-pouch and the Continent Ileostomy. Brooke Ileostomy The Brooke Ileostomy, which may also be called a conventional ileostomy, requires the removal of the entire colon and rectum. This surgery was created in the 1950s and is one of the oldest options available. With this option, you must wear an external appliance that will collect waste until you are ready […]
Read MorePreparing for Ileostomy Surgery
If you are suffering from a condition that necessitates the removal of your colon and rectum, you may need to have ileostomy surgery. Having this procedure can improve your symptoms and reduce the risk of complications from your condition. However, living with an ileostomy requires some adjustment. As you prepare for ileostomy surgery, follow the tips below. 1. Choose the right type of procedure. When preparing for the removal of your colon and rectum, you can choose from several different solutions, including: Conventional Ileostomy – The small intestine is attached to a stoma in the abdominal wall. Waste flows continuously into an external bag, which must be emptied at regular […]
Read MoreThree Options for Ileostomy Patients
When medical therapy fails to adequately improve a problem related to one of a number of digestive conditions, a physician might recommend an ileostomy. In this procedure, a surgeon diverts the bottom part of the small intestine – known as the ileum – through an opening created in the patient’s abdomen. This opening is called a stoma. Surgical Options According to BCIRhistory.com, the first use of this type of surgery was in 1913. Modern ileostomies have as their parent the Brooke procedure, introduced in 1952. Today, patients have three basic surgical options when it’s necessary to eliminate waste after removing both the colon and the rectum: Traditional Brooke procedure. The […]
Read MoreColitis Treatment Without the External Bag
Ulcerative colitis is a complex disease that affects over 700,000 Americans and in one quarter to one-third of these cases, some type of surgical solution is necessary. Traditional surgeries used to treat ulcerative colitis can seriously affect patients’ self-image and freedom of movement, but a new option is now available that reduces side effects and restores a familiar sense of bodily comfort. Here’s a quick overview of traditional surgical colitis treatment, and an explanation of how patients who have had their entire colon removed can avoid the need for an external bag: Traditional surgical treatments 1. Ileo-anal “J pouch:” Some patients who have retained the lowest part of the rectum […]
Read MoreBenefits of a Kock Pouch
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 […]
Read MoreDealing with a Failed J-Pouch
J-pouch surgery, or ileoanal anastomosis, is typically used to treat patients who are suffering from familial polyposis or ulcerative colitis. To perform this operation, a surgeon creates a reservoir, or “pouch,” using the end of the small bowel. It is then attached to the anal canal to allow the passage of stool. Although this surgery can effectively relieve the symptoms of the painful conditions it is designed to treat, it can also cause some uncomfortable side effects. Fortunately, treatments are available to eliminate the issues associated with a failed J-pouch. About J-Pouch Failure Signs of a failed J-pouch may include: Fecal incontinence (stool leaking from the anus) Many stools per […]
Read MoreExploring Your Ostomy Options
If you are suffering from Familial Adenomatous Polyposis or Ulcerative Colitis, removal of the colon and rectum may be required in order to alleviate your symptoms and/or prevent further complications. In such cases, a new method of eliminating waste is necessary. Depending on the specifics of your situation, you may be able to choose from several different ostomy options. Brooke Ileostomy (Conventional Ostomy) In a Brooke Ileostomy, the surgeon connects the small intestine to an opening in the abdominal wall, which is referred to as a “stoma.” Waste flows through this opening and into an external collection bag. Although this procedure can effectively treat serious conditions affecting the colon, it […]
Read MoreUnhappy With Your Kock Pouch: Read This.
While many people have had successful ileostomies and gone on to enjoy a positive quality of life, others continue to struggle physically and/or emotionally with adjusting to life following a Brooke ileostomy, J-pouch or Kock pouch procedure. But there’s another option for ulcerative colitis or familial adenomatous polyposis patients who had their large intestines removed: ileostomy reversal with the Barnett Continent Intestinal Reservoir (BCIR) ileostomy. What Is the BCIR Ileostomy? A major modification of the Kock pouch continent ileostomy, The BCIR involves the creation of an internal reservoir using the patient’s small intestine, which connects to a nipple valve — also fashioned from the intestine — and small, self-healing stoma […]
Read MoreSurgery Options After Total Colon Removal
Transcribed from Video Above featuring Dr. Schiller: Hello. I’m Dr. Don Shiller, and I’m speaking with you here at Olympia Medical Center in Los Angeles, California. I’m going to talk about the three surgical options available if you need to have your large intestine removed. The usual conditions that lead to that type of surgery are ulcerative colitis and familial polyposis. If you need to have your large intestine and rectum removed to cure these conditions, there are three options available. The first option is removing the entire colon and rectum and doing a conventional ileostomy. The Brooke ileostomy, named after Dr. Brooke from the 1950s, requires wearing an […]
Read MoreReplacing an External Bag Ileostomy with an Internal BCIR Pouch
Interview Transcribed from Video Above featuring Dr. Schiller Dr. Schiller: I’m Dr. Don Schiller, talking with you here at Olympia Medical Center in Los Angeles, California. And with me today is one of my patients, Brenda. Brenda: Hello. Dr. Schiller: Brenda, always nice to see you. Brenda: It’s always great to see you, Dr. Schiller. Dr. Schiller: Thank you and we’re talking about the BCIR Pouch, the Barnett Continent Intestinal Reservoir. So tell me how you became my patient. Brenda: I was referred by another doctor. I had the ileostomy pouch and I just needed something different, I had that for ten years. Dr. Schiller: So you were […]
Read MoreIleostomy reversal: Are you a good candidate?
In order for your ileostomy reversal to produce the results you want your surgeon must make sure that you are a good surgical candidate. Here we’ll discuss some of the general circumstances that make an ideal candidate for a successful ileostomy reversal. Remember, however, that the only way to determine for certain if you personally are a good candidate is to schedule a consultation (in person or by telephone) with an expert continent ileostomy surgeon. This includes a surgeon who performs the BCIR or Barnett Continent Intestinal Reservoir as well as the original Kock Pouch Continent Ileostomy. A Good Surgical Candidate for Reversal has: Stable weight without obesity […]
Read MoreWhat to know about caring for your Koch Pouch
A Kock pouch is a type of continent ileostomy which creates a reservoir where digestive waste can be stored and only comes out when you allow it to. The procedure involves creating a pouch from the person’s own small intestine, as well as a valve which is made from the small intestine and is self-sealing. During surgery a catheter is placed into the pouch and connects to a drainage system. Once sufficient healing has occurred (about 2 weeks in the hospital), the tube is removed and you learn how to drain the internal pouch yourself. You will be given specific instructions and a calendar of your “intubation schedule”, gradually increasing […]
Read MoreLooking at your Ostomy options and life afterwards
An ostomy is a surgery to bring part of your intestine through the abdominal wall to the skin to allow for the evacuation of intestinal digestive waste. This type of surgery can be needed if your large intestine is no longer healthy and functioning normally. Examples of ostomy options include a colostomy, ileostomy and urostomy. People with an ostomy look into the possibility of ileostomy or colostomy reversal, to restore the normal passage of waste, or to avoid the need to wear an external appliance or pouch. Various surgical options have their own pros and cons. Your doctor can discuss your ostomy options with you to make sure you […]
Read MoreBCIR and Kock Pouch Surgery Hospital Length of Stay
Creation of a Continent Ileostomy, either the Kock Pouch or the subsequent modification into the BCIR or Barnett Continent Intestinal Reservoir pouch, is a major complex operation. Over the years, some surgeons discharge a patient as soon as they can eat after surgery (this could be 5-6 days), and send them home with a tube (catheter) sewn in place for a month. Then the tube is removed and the patient starts to “intubate” on their own. (Intubation is the process of inserting the catheter through the stoma opening and into the pouch, allowing the waste to flow through the tube into the toilet receptacle. This is usually done between […]
Read MoreAre Probiotics an Effective Colitis Treatment Option?
If you suffer from colitis, you can expect to have a series of painful episodes throughout your lifetime. The culprit is your body’s immune system which causes inflammation and eventually open sores to form in the colon. Loose, frequent bowel movements, abdominal pain, painful diarrhea and bloody stools are common symptoms. Episodes relapse and recur, and depending on the frequency, patients seek treatment to keep symptoms under control. Colitis treatment options often include: Medications like aminosalicylates, corticosteroids and immunosuppressants to suppress intestinal inflammation. A diet plan that eliminates foods which aggravate the condition. Surgery to remove the colon. Approximately one quarter to one third of patients don’t respond to pharmacological treatment so they opt for a colectomy and […]
Read More6 Traits of a Great Ileostomy Specialist
When it is time to choose an ileostomy specialist, you want the best. After all, the procedure is going to change your life. You may not have much, if any, experience with an ileostomy specialist before you actually need one, so you may not know where to start looking or how to narrow your options. The following six characteristics can help you find a great ileostomy specialist. 1. Education at Respected Institutions The schools with the best reputations have typically earned their accolades. Graduates of these schools may have been the top in their classes, and their education may have been more rigorous. Take a look at where your ileostomy […]
Read MoreFailed J-Pouch: When It Happens and What Comes Next
An ileostomy is a procedure that you might need if you have colon cancer or colitis. It is removal of part of the intestine and creation of a hole to let waste escape. In the ileoanal J-pouch or pull-through, the small intestine serves the former function of the large intestine. The procedure can be successful, but it can result in a failed J-pouch. Why Patients May Opt for a J-Pouch Some of the most common concerns about getting an ileostomy are being tied to a bag and losing all control about when waste exits from the body. A J-pouch is an operation that helps to relieve these worries. With a […]
Read MoreTips to Help You Choose an Ileostomy Specialist
An ileostomy is a big life change. In the procedure, part of the small intestine is removed and restructured to provide an outlet, or stoma, for waste to exit. You’ll need to modify your lifestyle and may need to carry an external bag. You may need an ileostomy if you have any of the following conditions. Uncontrolled bleeding. Ulcerative colitis. Chrohn’s disease. Cancer. A failed J-pouch from a previous ileostomy. You may not be an expert on ileostomies, but you can take steps to ensure that you choose an ileostomy specialist who makes you feel comfortable and who is an expert in the field. The following are some tips to […]
Read MoreIs Ileostomy Reversal Right for You
Ileostomy reversal can be an exciting time for anyone who has a stoma after bowel surgery. The inconvenience and embarrassment of changing ileostomy bags and leakage makes life miserable for people already suffering from bowel cancer or serious another intestinal problem. Most patients with an ileostomy would leap at the chance to reverse the procedure and experience a normal bowel pattern again. In cases of intestinal disease, a surgeon creates a stoma by bringing the end of the small intestine to the outside of the body where it can move waste out of the colon and into a bag. Depending on the reason for the stoma, surgeons can sometimes reverse […]
Read MoreOverview of the Three Ostomy Options
An ostomy is used when there is an intestinal disease or cancer to the colon, or when the intestinal tract can’t perform properly due to scar tissue or blockage by a disease. Some ostomy procedures are permanent, while others can be reversed. There are three main ostomy options to eliminate waste following surgery that remove the colon and rectum. The options include the continent intestinal reservoir (CIR), brooke ileostomy, and the ileoanal J-pouch. Here is more information about each type of ostomy so that you and your doctor can work together to decide which is right for you. Barnett Continent Intestinal Reservoir (BCIR) The first ostomy option available to you […]
Read MoreAdvantages of the Kock Pouch
If you need to have an ostomy due to a disease, such as colon cancer, you have a few options. The kock pouch is one of three main types of ostomy procedures. This procedure is done when the colon needs to be removed, but the patient wants the pouch inside their body. Traditional ostomy procedures use an external bag that needs to be emptied, but with the kock pouch, also referred to as K-pouch, the bag is under and flush with the skin. The Kock pouch is convenient, as emptying only requires a small tube. Draining also only needs to be done about 3-5 times a day, which is less […]
Read MoreA J-Pouch Can Increase Infertility in Woman
Not only can a failed j-pouch cause myriad health problems for patients, but the continence option can increase infertility among female patients. According to a meta-analysis conducted by researchers at the University of Michigan, woman with J-pouches are three times more likely to have difficulty conceiving a child. Infertility, defined as not achieving pregnancy in 12 months of attempting conception, increased from 15 percent to 48 percent in women who have J-pouches for cure of ulcerative colitis. Researchers were unable to identify procedural factors or patient characteristics that could increase infertility in women with a J-pouch. Scarring of a woman’s fallopian tubes appeared to be the most likely reason for […]
Read MoreIs Surgery the Only Answer for Colitis?
Surgery is one possible colitis treatment, but is it the only thing available? The surgical options for ulcerative colitis have come a long way over the last few years. Today, colitis sufferers are no longer dependent on a bag system to manage waste elimination. Ileostomy, the surgical treatment for colitis, can be a life changing, but what are the other options for people with this form of inflammatory bowel disease? What is Colitis? Colitis simply means inflammation of the bowel. People with chronic colitis tend to develop sores, called ulcers, along their digestive tract. Ulcerative colitis is a debilitating condition that can become life-threatening if the intestines rupture and leak. […]
Read MoreOptions for Ulcerative Colitis Treatment
For ulcerative colitis (UC) patients, life is often a series of painful episodes. Around 700,000 U.S. patients suffer from this chronic digestive disease, a form of inflammatory bowel disease, according to the Crohn’s Colitis Foundation of America (CCFA). Overview of Ulcerative Colitis Ulcerative Colitis (UC) is a chronic disease affecting the large intestine (colon). It typically waxes and wanes throughout life. Researchers link its development to a faulty autoimmune reaction. Inflammation arises in the lining of the colon, which eventually develops small, open sores. The most common symptoms include: Looser bowel movements, often with greater urgency Persistent diarrhea with pain, sometimes accompanied by bloody stools Abdominal pain and cramping The University of […]
Read MoreKock Pouch: What you need to know
A Kock pouch is a surgical creation. It was the earliest type of continent ileostomy, a means by which waste can exit the body after removal of the large intestine (colon) and the rectum. When Are Ileostomies Necessary? Often ileostomy is the treatment of last resort, after medical therapies fail to sufficiently improve an individual’s health. According to the University of Maryland Medical Center, a variety of problems can necessitate an ileostomy. The most common include: Ulcerative colitis or Crohn’s disease, both inflammatory bowel diseases Cancer of the colon or rectum Familial polyposis Intestinal birth defects Intestinal damage or emergency resulting from trauma To create an ileostomy, a surgeon brings the lowest portion […]
Read More5 Ways A Failed J-Pouch Risks Patients’ Health
Since its introduction in the 1970s, the J-Pouch has become the standard surgical intervention for chronic ulcerative colitis and for most patients with familial adenomatous polyposis. Even though it’s a standard course of action, doesn’t mean the procedure is without serious risk. J-Pouch surgery itself doesn’t usually pose a risk to patients’ lives, but the morbidity rate is extremely high. That means post-surgical complications are very likely to occur, which can pose significant risks to patients’ health. Read on to learn how a failed J-pouch can impact a patient’s well-being. 1. Pelvic sepsis The most serious early complication following surgery, pelvic sepsis, is one of the main causes of J-Pouch failure. Sepsis usually occurs […]
Read MoreColitis Treatment Helps Patients Avoid Disease-related Depression
Colitis causes significant discomfort in the people who suffer from it, affecting quality of life and resulting in depression in many people. Because of the pain and urgency associated with colitis, many people avoid social interaction and become more isolated, resulting in a worsening of emotional side effects. As they become more depressed, those emotional side effects can actually make their disease become worse, resulting in a cycle that can be extremely difficult to break. If you suffer from colitis or you have a loved one who does, learning a few simple coping tips can go a long way toward managing the disease’s emotional side effects: • Exercise: Multiple studies […]
Read MoreWhat is a Kock Pouch?
Sometimes medications are unable to cure or control certain illnesses, and surgery is necessary. When a patient experiences removal of the large intestine (colon) and rectum, the procedure is known as a proctocolectomy. One of the ways surgeons enable the body to expel waste after this surgery is use of a Kock pouch. Ostomy Basics Patients with a number of disorders undergo proctocolectomies. Among the conditions most frequently linked to this surgery are Crohn’s disease, ulcerative colitis, cancer and familial adenomatous polyposis. After a surgeon performs this surgery, waste passing through the small intestine still needs an exit. The traditional method is creating an opening in the abdominal wall. The […]
Read MoreThree Ostomy Options for Eliminating Waste from the Body
An ostomy is a type of bowel diversion surgery, which provides a way for stool to leave the body when injury or illness prevents the large intestine from carrying out that responsibility. The bowel is any segment of the large or small intestine in the digestive tract. The bowels help process food and remove excess water from stool before it passes through the colon and rectum to the outside of the body. Sometimes a surgeon must remove a section of the digestive tract, often in patients suffering from ulcerative colitis or familial polyposis. Fortunately, the surgeon can choose one of three ostomy options to help the patient eliminate waste from […]
Read MoreThe Philosophy of Surgical Care
BCIR surgical patients deserve the best of care. Dr. Schiller believes in a “hands on” style of practice. He understands that the Attending Surgeon should see their patients every day while they are in the hospital. This includes changing the dressing/bandages daily to personally inspect the incisions and stoma, rather than relying on someone else’s observations. It also means that with daily rounds, communicating directly with patients and their families is greatly enhanced. Although complications following BCIR surgery are infrequent, the Attending Surgeon is in the best position to detect subtle changes that allow for intervention or treatment at the earliest possible time. If Dr. Schiller must be away, an […]
Read MoreYour Ileostomy Diet: 3 Foods to Avoid
When you have an ileostomy, your intestines no longer function in the same way that they did before the surgery. Although most people who have ileostomies are able to eat a relatively normal diet, certain foods may cause problems. Some of the foods that you may want to avoid after your ileostomy include: Odor-Causing Foods The National Institutes of Health reports that certain foods may cause increased odor when the pouch is emptied. Examples of foods that may cause odor include: • Alcohol • Brussel sprouts • Baked beans • Onions • Garlic • Broccoli • Asparagus • Fish • Certain types of cheese While it isn’t usually necessary to […]
Read MoreFreedom and Control – BCIR Surgery with 2 week Hospital Stay
Nearly 50 years ago Dr. Nils Kock devised the Kock Pouch Continent Ileostomy, thereby giving patients with a conventional Brooke ileostomy wearing an external bag control over their elimination and freedom from “the bag”. Since Dr. Kock’s early work, other Surgeons have modified his technique including Dr. William O. Barnett who created the BCIR or Barnett Continent Intestinal Reservoir. His original pouch was hand-sewn, had a small, tight capacity, and he kept patients in the hospital for three weeks. For 17 days an indwelling tube going into the pouch through the stoma provides continuous decompression, and then 3 days of instruction by the nursing staff. The BCIR itself has undergone […]
Read MoreBCIR BEST PRACTICES
The care you should receive after BCIR surgery Following major abdominal intestinal surgery such as the BCIR, patients deserve the best of care. This includes a specially trained Nursing Staff, fully knowledgeable about BCIR Continent Ileostomy surgery and the needs of patients after their operation. However, excellent nursing is not enough. It is required that the Attending Surgeon see their patients every day while they are in the hospital. While some Surgeons use “care extenders” like a Nurse Practitioner (NP) or a Physicians’ Assistant (PA), that certainly can never substitute for the Surgeon visit. Only the Surgeon has attended Medical School and done a Surgical Residency. If a complication develops, […]
Read MoreWhat Is an Ileostomy? What You Need to Know About the Procedure and Diet
An ileostomy is a medical procedure that involves bringing the ileum to an opening in the abdominal wall, creating a stoma. You may need an ileostomy if your large intestine is no longer able to process and eject waste safely. The stoma allows waste to leave your body. The following conditions can cause you to need an ileostomy if they progress. • Chrohn’s disease. • Ulcerative colitis. • Colorectal cancer. • Hirschsprung’s disease. • Familial adenomatous polyposis. If you have been told that you need an ileostomy, your first reaction may be to wonder, “What is an ileostomy?” Knowing how the procedure works and what to expect after the surgery […]
Read MoreIs a BCIR Similar to an Ileostomy Reversal?
If you are a healthy individual living with a malfunctioning Brooke ileostomy or ileoanal J-pouch, there is a better way. The Barnett Continent Intestinal Reservoir, or BCIR, allows those who have had their large intestine removed due to disease, trauma or to prevent cancer, to live bag-free. It is not a full ileostomy reversal, but it is close as medical science can get. What is an Ileostomy Reversal? In a normal functioning digestive tract, food travels from the stomach into the duodenum, and then enters the small intestine where nutrients are absorbed. From there, it moves to the large intestine (colon) and eventually is evacuated through the rectum as waste. During ileostomy […]
Read MoreOstomy Options
Patients with intestinal conditions such as Familial Adenomatous Polyposis, Ulcerative Colitis or cancer can often benefit from the removal of the large intestine and colon. However, when this surgery is performed, the patient must have an additional operation known as an ileostomy. The purpose of the ileostomy is to pull the small intestine through an opening in the skin for the evacuation of waste. Overview of Options Physicians have been in search of a viable ostomy solution since the early 1900s. Several different ostomy options have been developed. Some of these methods include: Brooke Ileostomy. In a Brooke ileostomy, the end of the small intestine is rerouted through the abdominal […]
Read More5 Reasons Why the BCIR is Preferred Among Ostomy Options
Patients who have a traditional ileostomy will likely seek out more convenient ostomy options at some point following the initial procedure. Why? Ileostomies can be messy, unpredictable and embarrassing. Dr. Don Schiller has perfected a surgical procedure called the Barnett Continent Intestinal Reservoir (BCIR) that gives patients freedom and convenience following the removal of the colon due to Ulcerative Colitis, Familial Polyposis, Crohn’s colitis, colonic inertia or other condition. In BCIR surgery, Dr. Schiller creates an internal pouch and a nipple valve using tissue from the patient’s small intestine. The valve is connected to a stoma or ostomy on the lower abdominal wall. Following surgery, patients insert a catheter into the stoma […]
Read MoreBCIR Offers Effective Alternative to a Failed J-Pouch
While a J-Pouch can be a good option for many people who have most of their colon removed due to chronic ulcerative colitis, colon cancer and familial polyposis, the procedure can often fail leaving the patient seeking an alternative means of continence. Fortunately, Dr. Schiller offers a solution called a Barnett Continent Intestinal Reservoir for patients with failed j-pouches. Why Do J-Pouches Fail? The ileoanal j-pouch is made from a portion of the small intestine and connected to the anus. Waste is collected in the reservoir, and the patient must empty the pouch several times a day, often at inconvenient times. Oftentimes, the procedure fails because the patient experiences: • […]
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