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Kock pouch
Medical intervention From Wikipedia, the free encyclopedia
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A Kock pouch is a continent pouch formed by the terminal ileum after colectomy. The procedure was detailed and first performed in 1969 by Dr. Nils Kock. [citation needed]
Indications
Kock pouch ileostomy is indicated for patients who are unfit for ileal pouch anal anastomosis (IPAA) because the anus and anal sphincter will be removed during the operation; and patients who develop severe incontinence after IPAA.[1]
A Kock pouch need not be created during the initial colectomy surgery.[citation needed]
Details
The pouch has a volume of 500ml to 1000ml so that feces can be stored temporarily, and the patient does not need to carry a stoma bag. This improves the patient's quality of life. A valve is constructed by intussusception of the terminal ileum,[2] containing the stored faeces.[1]
References
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