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

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Dealing with a Failed J-Pouch

March 24, 2015  ·  By: MD

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 day
  • Chronic irritation of the anus and surrounding area
  • Pain

Available Treatments

Patients who are experiencing problems with a J-pouch may be able to alleviate their symptoms with one of the options below.

Barnett Continent Intestinal Reservoir (BCIR)

The BCIR utilizes a portion of the patient’s small intestine. A nipple valve is created from the intestine and connected to an ostomy in the lower part of the abdomen. To empty the reservoir, the patient simply inserts a catheter into the stoma and deposits waste into the toilet. The required stoma does not protrude above the skin, so it is inconspicuous. No gas or waste will leave the reservoir until the tube is inserted, and patients need to empty the reservoir only 3 to 5 times each day. No external bag is required.

Ileostomy Reversal Surgery

Ileostomy reversal surgery is appropriate for patients who have already had a failed J-pouch removed and are now dealing with a conventional stoma or Brooke ileostomy. With a conventional stoma, you must wear an external bag continuously, and you have no control over your own elimination. With ileostomy reversal surgery, however, you can get rid of your conventional stoma and replace it with a better option, such as a BCIR. This will give you more control over the release of waste. It will also eliminate the need for an external bag, thus allowing you to live a more normal life.

Seeking Treatment

If you are experiencing the symptoms of a failed J-pouch, or if you have already had a failed J-pouch removed, you may be a candidate for ileostomy reversal surgery or BCIR. Please contact our office today to schedule an appointment with our team and learn more about your available treatment options.

Retirement Announcement

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

Insurance Accepted

Contact our office for details

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