The continent ileostomy (Kock pouch): Roentgenologic features

Diner, Wilma C.; Cockrill, Howard

doi:10.1007/bf01887499

Cited by 8 publications

(4 citation statements)

References 9 publications

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“…Double-contrast radiology is a valuable procedure in the workup of patients with malfunctioning continent ileostomies [2][3][4][5][6]. In the present study, a defective con- Of 32 patients in w h o m some degree of detachment of the reservoir from the abdominal wall was found during surgery, this defect was either suspected or diagnosed radiologically in 20.…”

Section: Discussionmentioning

confidence: 57%

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Radiology of the continent ileostomy reservoir: II. Findings in patients with late complications

et al. 1994

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During an 8-year period, 238 barium double-contrast studies performed in 162 patients with continent ileostomy reservoirs who had signs and symptoms of late complications (malfunction of the valve, nonspecific inflammation of the mucosa, stenoses, hernias, and fistulas) showed radiologic abnormalities. The aim of the present study is to depict the radiologic findings in patients with late complications of continent ileostomy reservoirs. With radiologic examination, the correct diagnosis of valve malfunction was made in 96% of patients with surgically proven valve defects. We were able to differentiate between various types of valve dysfunction and complications related to the fixation of the reservoir to the abdominal wall. Inflammatory mucosal changes and fistulas of the reservoir and the afferent ileal segment were depicted with a high degree of accuracy. Barium double-contrast radiologic examination proved to be very valuable in the work-up of patients with dysfunction of continent ileostomy reservoirs. The method was of particular value in assessing the cause of valve dysfunction and in the appraisal of the afferent ileal segment.

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Section: Discussionmentioning

confidence: 57%

“…Other authors [2][3][4][5][6] have shown that radiologic studies improve the assessment of complications of the continent ileostomy, but perusal of the literature reveals no systematic radiologic study of dysfunctioning reservoirs.…”

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confidence: 99%

Radiology of the continent ileostomy reservoir: II. Findings in patients with late complications

et al. 1994

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“…These advanced operations require follow-up investigations in order to identify and treat postoperative complications. Radiologic evaluation proved to be of great value in the development of Kook's continent ileostomy (2,3,10).…”

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confidence: 99%

“…Ileorectal anastomosis was not always a satisfactory alternative (1). In the late sixties, KOCK (5, 6) introduced a new surgical procedure for a continent ileostomy (2,3,5,6,10). This was a technically difficult operation, often with postoperative complications, while the patient still suffered the drawback of an ileostomy (17).…”

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confidence: 99%

Radiologic Evaluation of the Continent (S-Pouch) Ileal Reservoir with Anal Anastomosis

Hennild

Kjærgård

Hansen

1986

Acta Radiologica. Diagnosis

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A radiologic investigation was performed in 26 patients subjected to colectomy, mucosal proctectomy and endorectal ileo-anal anastomosis after the creation of an ileal reservoir. The patients had suffered from ulcerative colitis or familial polyposis. The reservoir and its efferent leg was best demonstrated by contrast enema. The size and position of the reservoir and the efferent leg was demonstrated, and stenoses, abscesses and fistulae could be identified. Examination of the small bowel with a contrast medium showed slight dilatation of the ileum orally to the reservoir in all instances and one patient had a stenosis at the junction of the afferent leg of the reservoir. Erect and supine projections of the abdomen showed gas in the intestine and fluid levels in the reservoir. These radiographic findings should not be confused with ileus or pelvic abscess. Radiology was of great value in disclosing postoperative complications.

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