The Continent ileostomy: long-term durability and patient satisfaction

Health-Related Quality of Life and Pouch Function in Continent Ileostomy Patients: A 30-Year Perspective

“…25 These episodes were mostly mild and transient, however, and were simply managed by a short course of antibiotic treatment (metronidazol) without the need for hospital care. In contrast to previous short-term findings, 26 our results are gratifying and might imply that pouchitis episodes-initially severe and painful-seem to become less severe with the passage of time.…”

“…35 Conversion of the failed ileal pouch-anal anastomosis to a continent ileostomy may be a reasonable alternative, and gratifying results have been reported. 12,13,25,36 Consequently, this procedure should be considered and discussed with the patient. The next decade may well see a great revival of interest in the continent ileostomy, thus some surgical teams should be conversant with the technique and be prepared to offer patients this operation as a second alternative.…”

Delayed Kock Pouch Nipple Valve Failure: Is Revision Indicated?

“…10 The overall pouch failure rate was 16.6 percent with a median follow-up of 11 years. The average number of pouch revisions was 2.9, with a median time between revisions of 14 months.…”

T-Pouch: A New Valve Design for a Continent Ileostomy

“…1 For reasons of patients satisfaction, the innovative procedure rapidly became popular, and several reports showed an overall improvement to quality of life, body perception, and sexual relationships. 6,7 A setback to the initial enthusiasm, however, was the high number of patients who suffered surgical complications or had to undergo pouch revisions. 8 Several technical modifications were therefore suggested to obviate these problems, 9,16 but even in recent studies, similar problems were reported that were mostly related to dislodgement of the intussuscepted nipple valve, resulting in pouch leakage and intubation difficulties.…”