40th Anniversary of Kock Pouch Honored at Quality Life Association Symposium

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Don J. Schiller, MD, FACS, a recognized expert in surgery for the Barnett modification of the Kock pouch intestinal reservoir, spoke today at the QLA Symposium. Dr. Schiller acknowledged the 40th anniversary of the continent ileostomy, originally devised by Dr. Nils Kock in Sweden.

Don J. Schiller, MD, FACS, a recognized expert in surgery for the Barnett modification of the Kock pouch intestinal reservoir, spoke today at the QLA Symposium (definition of Kock pouch: http://ileostomy-surgery.com/Kock_Pouch). Dr. Schiller acknowledged the 40th anniversary of the continent ileostomy, originally devised by Dr. Nils Kock in Sweden. This surgery, met with excitement throughout the world, unfortunately had a complication rate of 50%. Dedicated surgeons have modified the Kock pouch to alleviate the primary complication of a slipped valve. One surgeon, Dr. William O. Barnett, spent many years revising the Kock pouch and arrived at an important modification. This surgery, now recognized as the BCIR or Barnett Continent Intestinal Reservoir, uses the basis of the Kock pouch with the following revisions:

  • A single suture line instead of a folded triangulated suture line
  • An iso-peristaltic valve segment
  • An intestinal collar that comes off the pouch and wraps around the outer portion of the valve segment

These changes have reduced the incidence of the slipped valve, the primary drawback of the Kock pouch (see http://www.kockpouch.com).

The BCIR is for people with ulcerative colitis or familial polyposis who need to undergo total colectomy or removal of their large intestine - the colon and rectum - to cure their disease or condition. It is an important alternative to the conventional Brooke ileostomy with the bag, and also is performed for people who have had a poor outcome from the ileoanal "J" Pouch or who cannot undergo the J pouch procedure. Anyone in overall good health with a malfunctioning ileostomy, including people with a stoma hernia or stoma prolapse or retraction, are candidates to be considered for the BCIR surgery. A malfunctioning ileostomy includes people with physical difficulties managing with their ileostomy appliance as well as people with emotional or psychological difficulties with their stoma. A "bag-free" life is possible for ileostomy patients!

For more information on the Kock pouch (also called Koch pouch), visit:
http://www.ileostomy-surgery.com/Koch_Pouch_Frequently_Asked_Questions.html

About the Ileostomy Surgery Center:

The Ileostomy Surgery Center is the leading surgical center west of the Mississippi for the BCIR revision of the Kock pouch. Headed by Don J. Schiller, MD, FACS, the Center has been at the forefront of developments in ileostomy surgery.

Further ileostomy surgery information is available at: http://www.ileostomy-surgery.com/Ostomy_Appliance_Free_Alternatives_for_Ostomy_Appliance_Users.html

About the Ileostomy Surgery Center:
The Ileostomy Surgery Center is the leading surgical center west of the Mississippi for the BCIR procedure (Barnett Continent Intestinal Reservoir). Headed by Don J. Schiller, MD, FACS, the center has been at the forefront of developments in ileostomy Surgery.

Contact:
The Ileostomy Surgery Center
9808 Venice Blvd, Suite 603
Culver City, CA 90232
Phone: (310) 204-4565
Fax: (310) 204-4566
http://www.ileostomy-surgery.com

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