Kock Pouch Procedure Revisited at the Quality of Life Association Symposium

The Kock Pouch procedure (also called Koch Pouch) was revisited at the 2009 Quality of Symposium. This year, 2009, is an anniversary celebration - the 40th anniversary of Dr. Nils Kock performing the first Kock pouch continent ileostomy in 1969.

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Los Angeles, CA (PRWEB) September 23, 2009

This year, 2009, is an anniversary celebration - the 40th anniversary of Dr. Nils Kock performing the first Kock pouch continent ileostomy in 1969 (for a Kock pouch definition, see: http://ileostomy-surgery.com/Kock_Pouch).

The surgery was done in Sweden and was met with great excitement around the world. However, the initial Kock pouch had a complication rate of nearly 50%. Since then, dedicated surgeons have made modifications to the original technique (see http://www.kockpouch.com).

The main concern of a continent ileostomy is development of a slipped valve. The valve mechanism is made from the patient's own intestine, it is not a device or foreign object of any kind. To create the valve, a segment of intestine is grasped in the middle and it is telescoped into itself thereby creating a double layer that is self-sealing. Pressure studies of pouches have revealed an area of high pressure in the nipple valve relative to the pouch. This means that when the pouch becomes full, a spasm develops along the valve and "access segment" (the tract or passageway from the stoma opening at the skin through the abdominal wall that then becomes the valve segment). This may be the cause of valve slippage. When the valve slips the patient develops incontinence as well as difficulty inserting the drainage catheter.

Many surgeons have modified the Kock pouch using various technical maneuvers to help reduce the likelihood of a slipped valve. Dr. William O. Barnett spent many years modifying Dr. Kock's original technique. The Barnett modification of the Kock pouch, also called the BCIR or Barnett Continent Intestinal Reservoir, is the most substantial modification technique devised. It involves a single suture line instead of a folded triangulated suture line, an isoperistaltic valve segment, and especially the intestinal collar that comes off the pouch and wraps around the outer portion of the valve segment. This reduces the incidence of slipped valve problems.

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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