Kock pouch
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.
Kock pouch | |
---|---|
Specialty | gastroenterology |
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.
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]
gollark: Oh, *or* ones with lots of spaces.
gollark: If DC gets popular enough, and/or people just continue playing, eventually all good names will be gone and we'll have to either have stupidly long ones, unpronounceable strings of letters, or meaningless sequences of words.
gollark: Hellohi!
gollark: You can use Ikea product names if you want a good source of vaguely human-sounding ones.
gollark: I go around considering the ethics of DC for immersion, mostly, but whatever.
References
- Nils G. Kock; Classic Article; forward 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.
- Kock pouch; Medical Dictionary online; retrieved March 2014.
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.