Dr. Don Schiller - The Ileostomy Specialist
  • Email

Dr. Don Schiller has retired from his practice
involving BCIR and Kock Pouch surgery.

  • Home
  • About Dr. Schiller
  • Ileostomy Treatment
    • BCIR (Barnett Continent Intestinal Reservoir)
    • Conventional Ostomy (The Brooke ileostomy)
    • The ileoanal J-pouch
    • Risks & Complications
  • Your Hospital Stay
  • Testimonials
  • Media
    • Videos
    • Photo Gallery
  • Blog

Text Size:  

  • Aa
  • Aa
  • Aa

What to know about caring for your Koch Pouch

January 28, 2015  ·  By: MD

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 the interval between emptying your internal pouch on a weekly basis from every 2 hours up to every 4-6 hours.

 

DIET

In the early weeks and first few months after surgery, a low residue diet will help to avoid having the drainage catheter become plugged, requiring more manipulations than desirable.  Once the pouch capacity has expanded, the tough to digest foods sit in the pouch in-between your draining the pouch contents, and so they keep being digested and broken down by the intestinal pouch doing what intestine naturally does.

 

BCIR

The BCIR or Barnett Continent Intestinal Reservoir, is an updated version of the Kock Pouch.  The BCIR adds the benefit of an intestinal collar that wraps around the outside of the valve, helping to maintain it in a proper stable position.  Contact Dr. Schiller today to go over all your ileostomy 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

Where to Find Us

Dr. Don Schiller- The Ileostomy Specialist

Get Directions

  • Home
  • Copyright 2016 The Center for Ileostomy Surgery
  • Legal Notices
  • Privacy Policy

Site design by MD Connect, Inc.

[show_theme_switch_link]