Surgeons in the Division of Colorectal Surgery have superior experience with the construction of the continent ileostomy reservoir (K pouch) and revisional surgical techniques for the maintenance of continence and function.
K-pouch surgery entails connection of the end of the small intestine to the skin of the abdomen. Unlike other ileostomies, which drain continuously into an external appliance (bag), the K-pouch includes a special valve that prevents waste from leaking out. A catheter is inserted when it is time to empty the pouch. The continent ileostomy thus avoids the need for an external appliance for the collection of intestinal waste for patients who do not wish or are not candidates for an ileoanal J pouch.
The continent ileostomy (K-pouch) is an option for patients with a permanent ostomy with skin and stoma problems related to an external appliance, and is a consideration for some patients with a permanent ostomy seeking continence and an improvement in quality of life by the avoidance of an external appliance.