The Phoenix Magazine, Official Publication of the UOAA, Publishes “Aging and the Continent Ostomate”

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The Phoenix Magazine, the official publication of the UOAA (United Ostomy Associations of America) has published “Aging and the Continent Ostomate”, an article by Don J. Schiller, MD, FACS, in the March 2011 edition of the magazine.

Don J. Schiller, MD, FACS, recognized expert in the field of continent ileostomy surgery, has written a thorough and very informative article entitled “Aging and the Continent Ostomate” which has just been published in the March 2011 edition of The Phoenix Magazine. This publication is the official publication of the United Ostomy Associations of America – the UOAA. The organization serves the needs and interests of ostomy patients of all types.

For those people who require removal of their large intestine (colon and rectum) to cure Ulcerative Colitis or Familial Adenomatous Polyposis or other conditions, there are 3 surgical options for creating a way to evacuate intestinal waste. (For more in-depth ileostomy options, see Dr. Don Schiller’s Ileostomy Options blog at

The conventional Brooke ileostomy brings the end of the small intestine through the abdominal wall and a spout is created. Since waste drains continuously, an external appliance (“the bag”) must be worn at all times constantly to contain the waste.

A second option is creating an internal pouch made from the small intestine and connecting it to the anus. While this allows for having bowel movements the normal way, not everyone is a candidate for this “ileoanal J pouch” procedure, and it fails in up to 15% of people because of too many evacuations a day or because of incontinence (stool and gas leak out spontaneously).

The 3rd option is the Continent Ileostomy. In this operation an internal pouch is created from the small intestine together with an intestinal nipple valve and stoma. Several times a day a catheter (tube) is painlessly inserted through the stoma into the internal pouch, evacuating the waste into the toilet. The stoma opening is small and flush with the skin, so only a small patch is worn over it to absorb mucous. (Dr. Schiller discusses the BCIR with a former patient:

Since 1989, Dr. Don Schiller has been performing the BCIR or Barnett Continent Intestinal Reservoir, which is a modification of the original Kock Pouch continent ileostomy. Dr. Schiller is a General Surgeon in Los Angeles, California. He graduated from the Albert Einstein College of Medicine and did his Surgical training at UCLA Medical Center. Dr. Schiller has created hundreds of new BCIR pouches, and has helped many patients with a malfunctioning Kock pouch, performing surgical revisions to restore proper function. He has also preserved this continence option for many patients who have had a J-pouch with an unsatisfactory outcome. (For information on post operative Ileostomy care, see

For further information, please visit Dr. Schiller’s website

The Ileostomy Surgery Center
9808 Venice Blvd, Suite 603
Culver City, CA 90232
Phone: 1-800-677-5252 / (310) 204-4565
Fax: (310) 204-4566

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Don J. Schiller, MD, FACS

Don J. Schiller, MD, FACS
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