Continent Ileostomy: Current Experience

Abstract

Continent ileostomies continue to have a high rate of reoperations, reasonable functional results, and are a viable option for failed ileal pouch-anal pouch patients. Surgeons electing to perform continent ileostomies must carefully select their patients and advise them of the high potential for reoperations. Despite a high reoperation rate, patients are pleased with their continent ileostomies.

Surgical load and long‐term outcome for patients with Kock continent ileostomy

“…The proportion of patients needing reoperation was 44% compared with 50–60% reported by others [8,9,16]. Patients reoperated had a mean of 1.7 reoperations, which is similar to other series [8].…”

Surgical management of ulcerative colitis

“…These pouches are prone to failure from valve or nipple slippage, and reoperations are frequent. However, the functional result is reasonable and patient satisfaction appears to be high [18].The Kock pouch has still a place in highly selected patients, especially when IPAA is not possible or fails.…”

Crohn’s disease of the pouch: diagnosis and management

“…It certainly affects surgical outcomes and patients' health-related quality of life [63,64], and it can result in septic complications and pouch failure [65,66]. In fact, this entity of disease is one of the leading causes of pouch failure [67].…”