Kock_pouch

Kock pouch

Kock pouch

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A Kock pouch is a continent pouch formed by the terminal ileum after colectomy. The procedure was detailed and first performed in 1969 by Dr. Nils Kock. [citation needed]

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Indications

Kock pouch ileostomy is indicated for patients who are unfit for ileal pouch anal anastomosis (IPAA) because the anus and anal sphincter will be removed during the operation; and patients who develop severe incontinence after IPAA.[1]

A Kock pouch need not be created during the initial colectomy surgery.[citation needed]

Details

The pouch has a volume of 500ml to 1000ml so that feces can be stored temporarily and the patient need not carry a stoma bag. This improves the patient's quality of life. A valve is constructed by intussusception of the terminal ileum,[2] thereby containing the stored feces.[1]

References

  1. [1]
    Nils G. Kock; Classic Article; foreword by Corman, Marvin L., M.D.; March 1994; Springer (web); Volume 37, Issue 3; excerpt from "Diseases of the Colon & Rectum"; Chapter: Intra-abdominal 'Reservoir' in Patients With Permanent Ileostomy; Pp. 278–279.
  2. [2]
    Kock pouch; Medical Dictionary online; retrieved March 2014.


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