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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Exploring Your Ostomy Options

October 7, 2017  ·  By: Dr. Don Schiller

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 these disadvantages include:

  • Dietary changes may be necessary

  • Food blockage, leakage and other complications may occur

  • Protruding stoma

  • External bag must be worn continuously

  • No ability to control elimination, as waste flows continuously

J-Pouch

Another option available to patients who need an ostomy is the ileoanal J-pouch. If you opt for this procedure, your surgeon will create a small reservoir using a portion of your small intestine. This reservoir is connected to your anal canal. This procedure allows you to have more control over your bowel movements, and you won’t need an external collection bag. However, you will still experience disadvantages with this option. Some of the disadvantages of the J-pouch include:

  • Leakage

  • Pain and irritation

  • Need to have a bowel movement quickly after feeling the urge

  • Several stools every day

BCIR

The Barnett Continent Intestinal Reservoir, or BCIR, is another option available for patients who need an ostomy. If you choose this procedure, your surgeon will create an internal reservoir using a portion of your small intestine. He or she will also create a nipple valve and connect it to a stoma in your lower abdomen. You will use this valve to release waste through the stoma.

The BCIR offers several advantages over other procedures. With a BCIR, you won’t need to wear an external collection bag. Instead, you will release waste from the reservoir when it is convenient for you using a small catheter. Most patients have to empty the reservoir three to five times each day. The valve seals itself when it isn’t in use, so you won’t have to worry about the leakage of waste or gas.

Making a Choice

If you are in need of an ostomy, the best thing you can do is consult an experienced surgeon. To learn more about the advantages of the BCIR, please contact Dr. Don Schiller. 

Retirement Announcement

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

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