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Kock pouch

Ahmed S El-Hefnawy, Tamer Helmy, Mahmoud Laimon, Samer El-Halwagy, Hassan Abol-Enein
OBJECTIVE: The aim of this study was to review different management modalities and outcome of patients presenting with late intestinal obstruction (IO) after radical cystectomy (RC) or palliative cystectomy (PC). MATERIALS AND METHODS: Files of patients who presented with IO between January 1978 and June 2014 were reviewed. Patients who developed IO following either RC or PC more than 30 days after surgery were included. Patients' characteristics and management protocols were evaluated...
December 2016: Scandinavian Journal of Urology
M L Sunde, T Øresland, A E Faerden
AIM: The object of this study was to compare function and quality of life after restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis (IPAA) surgery having two different pouch designs. METHOD: Patients having RPC in an academic unit from 2000 who had had the loop-ileostomy closed by June 2013 were identified from the hospital medical records. They were sent a questionnaire regarding quality of life and interviewed using a pouch function score (PFS) described by Oresland (score 0-16, higher scores denote worse function)...
April 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Pär Myrelid, Tom Øresland
Colectomy is still frequently required in the care of ulcerative colitis. The most common indications are either non-responding colitis in the emergency setting, chronic active disease, steroid-dependent disease or neoplastic change like dysplasia or cancer. The use of the ileal pouch anal anastomosis has internationally been the gold standard, substituting the rectum with a pouch. Recently the use of the ileorectal anastomosis has increased in frequency as reconstructive method after subtotal colectomy. Data from centres using ileorectal anastomosis have shown the method to be safe, with functionality and risk of failure comparable to the ileal pouch anal anastomosis...
June 2015: Journal of Crohn's & Colitis
Alison Crawshaw, Julia Williams, Fran Woodhouse
The psychological impact stoma surgery can have on an individual is well documented within the literature (White and Hunt, 1997; Borwell, 2009; Williams, 2005; Brown, 2005). For many years, surgeons have explored and developed innovations in surgical techniques, in particular restorative procedures with a view of preventing permanent stoma formation; ileal anal pouch (IAP) now being the surgical procedure of choice for treatment of ulcerative colitis (UC) and familial adenomatous polyposis (FAP). However, high morbidity rates are associated with pouch longevity (Castillo et al 2005; Nessar and Wu, 2012) and once removed can lead to a high-output ileostomy with risks of electrolyte imbalance and malabsorption...
September 25, 2014: British Journal of Nursing: BJN
Min Chen, Bo Shen
No abstract text is available yet for this article.
August 2014: Gastrointestinal Endoscopy
Christianne J Buskens, Saloomeh Sahami, Pieter J Tanis, Willem A Bemelman
Up to 35% of patients with ulcerative colitis will require surgery during the course of their disease. Nowadays, a total colectomy with ileal pouch-anal anastomosis is the preferred procedure, which can be performed open or via laparoscopic approach. Since the early '90s, minimally invasive techniques have gained popularity, but the extend of restorative procedures in these patients has restricted the use of laparoscopic approaches mainly to elective procedures in specialised centres. This review discusses the benefits and disadvantages of laparoscopic surgery when compared to open surgery...
February 2014: Best Practice & Research. Clinical Gastroenterology
Sarah Y Boostrom, Kellie L Mathis, Rajesh Pendlimari, Robert R Cima, David W Larson, Eric J Dozois
INTRODUCTION: Neoplastic change in ileal reservoirs after proctocolectomy has been reported in patients with familial adenomatous polyposis. We aim to determine the incidence and progression of neoplastic change in the ileal pouch of familial adenomatous polyposis patients at our institution. METHODS: A retrospective review of all patients who underwent proctocolectomy for familial adenomatous polyposis with construction of an ileal pouch from 1972 to 2007 was performed...
October 2013: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Fredrik Liedberg, Stig Colleen, Thomas Davidsson, Wiking Månsson
OBJECTIVE: This study aimed to reveal the late results of rediversion after urinary diversion. MATERIAL AND METHODS: From 1985 to 2009, 28 patients underwent rediversion at the Department of Urology, Lund University Hospital, Sweden. Median follow-up after rediversion was 147 months (range 7-300 months, interquartile range 63-214). The following rediversions were performed: ileal conduit, cutaneous ureterostomy, ureterosigmoidostomy and rectal bladder to continent cutaneous diversion (group I, n = 17); cutaneous ureterostomy to neobladder (group II, n = 1); ileal conduit and cutaneous ureterostomy to gastric conduit (group III, n = 2); and continent cutaneous diversion and neobladder to ileal conduit (group IV, n = 8)...
February 2014: Scandinavian Journal of Urology
Renate Pichler, Florian Zangerl, Nicolai Leonhartsberger, Brigitte Stöhr, Wolfgang Horninger, Hannes Steiner
OBJECTIVE: The aim of this study was to investigate the functional and oncological outcomes of orthotopic neobladders in women with urothelial cancer. MATERIAL AND METHODS: From 1993 to 2007, 61 women underwent radical cystectomy and orthotopic ileal neobladder using the hemi-Kock pouch or Skinner T pouch. Sixteen of them were excluded owing to a lack of available follow-up data. Finally, 39 women with diagnosed TCC were included in this retrospective study. Demographic data, functional outcome including micturition characteristics such as voided volume, continence situation, use of clean intermittent catheterization (CIC), residual urine volume and recurrence rate were collected 3, 6 and >12 months after surgery...
August 2013: Scandinavian Journal of Urology
Bedeir Ali-El-Dein, Albair Ashamallah
OBJECTIVE: To report the diagnosis, technique, and treatment outcome of pouch-vaginal fistula (PVF) with particular stress on the vaginal repair. METHODS: Between January 1995 and March 2010, 298 women (mean age, 52 years) underwent orthotopic neobladder reconstruction after radical cystectomy. A standard radical cystectomy was conducted in 283 patients and genitalia-sparing cystectomy in 15. Certain modifications were adopted after 100 patients to prevent chronic urinary retention and PVF...
January 2013: Urology
Gurel Nessar, James S Wu
Continent ileostomy can be defined as a surgical procedure that facilitates planned intermittent evacuation of a bowel reservoir through an ileostomy. It was devised by Nils Kock in 1969. Subsequently, continent ileostomy (or Kock pouch) became a viable alternative in the management of patients who had traditionally required an end ileostomy. Kock pouch appeared to provide substantial physical and psychosocial benefits over a conventional ileostomy. The procedure became popular until ileal pouch anal anastomosis (IPAA) was introduced in 1980...
July 21, 2012: World Journal of Gastroenterology: WJG
Francesca Suriano, Siamak Daneshmand, Maurizio Buscarini
BACKGROUND: The use of bowel segments incorporated into the urinary tract is well established in urological surgery. OBJECTIVE: To describe and compare the use of absorbable and nonabsorbable staples for creation of a urine reservoir after radical cystectomy. MATERIALS AND METHODS: This review is based on a systematic Medline search assessing the period 1950-2010. RESULTS: Use of the autosuture stapling device for the construction of the urinary diversion significantly reduces operating time...
2013: Urologia Internationalis
Zane Cohen
No abstract text is available yet for this article.
June 2012: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Eric Yi-Hsiu Huang, Eila C Skinner, Stuart D Boyd, Jie Cai, Gus Miranda, Siamak Daneshmand
PURPOSE: To review the perioperative and follow-up outcomes of patients undergoing radical cystectomy with orthotopic neobladder reconstruction for bladder cancer after prior radical prostatectomy (RP) for prostate cancer. METHODS: A retrospective review of more than 1,900 patients treated with radical cystectomy at USC between 1990 and 2011 was conducted. Fifty-six patients were identified who were previously treated with RP for prostate cancer. Twenty-four of these patients (43 %) underwent orthotopic neobladder reconstruction...
December 2012: World Journal of Urology
Leif Hultén, Helge E Myrvold
No abstract text is available yet for this article.
August 31, 2011: Läkartidningen
Malika Bennis, Emmanuel Tiret
INTRODUCTION: Surgery is the only curative option in the treatment of ulcerative colitis. Despite advances in the medical management surgery is required in about a third of patients. SURGICAL MANAGEMENT: In the acute setting surgery is indicated when medical treatment fails to improve an episode of acute severe colitis. The intervention of choice is a staged colectomy with end ileostomy and preservation of the rectal stump in the first instance. Indications for elective surgery are failure of medical therapy and malignant transformation...
January 2012: Langenbeck's Archives of Surgery
Peter U Ardelt, Christopher R J Woodhouse, Hubertus Riedmiller, Elmar W Gerharz
OBJECTIVE: To critically assess the biophysical properties and current status of outlet formation in heterotopic intestinal urinary diversion. As despite three decades of clinical experience with continent cutaneous urinary diversion through bowel segments, no consensus has been reached for the optimal efferent segment although its function largely determines patient satisfaction. METHODS: A comprehensive Medline literature search using the Medical Subject Headings database (search terms: continent urinary diversion followed by either efferent segment, nipple, Mitrofanoff, Yang-Monti, Benchekroun, tapered ileum, intussuscepted ileum, Kock pouch, T-valve, or Ghonheim) was conducted to identify all full-length original articles addressing the various principles and techniques of outlet formation as well as their outcomes and complications...
January 2012: BJU International
W W Rudd
In this new operation, a pouch or reservoir is fashioned out of terminal ileum with a valve mechanism at its exit to the skin surface. This allows storage of the liquid bowel contents in an expandable container with no leakage of stool or gas and therefore no skin problems. There is no need for appliances or bags, no embarrassment from the involuntary noise and smell of flatus through the ileostomy. The stoma is created flush and within the bikini line. The patient catheterizes the pouch on an average of three times a day...
August 1976: Canadian Family Physician Médecin de Famille Canadien
A Martínez, T Filleron, L Vitse, D Querleu, E Mery, G Balague, M Delannes, M Soulie, C Pomel, G Ferron
INTRODUCTION: Pelvic exenteration (PE) remains one of the most mutilating surgical procedures with important postoperative morbidity. Laparoscopic approach has emerged in an attempt to reduce postoperative complications. The aim of the present study was to compare outcomes between laparoscopic pelvic exenteration combined with a vaginal or perineal approach, versus classical approach. METHODS: A cohort study was performed by identifying patients who underwent laparoscopic pelvic exenteration, and retrospectively comparing data with open cases from the same period of time, from 2000 to 2008...
March 2011: Gynecologic Oncology
David E Beck
Continent ileostomy (Kock pouch) is an alternative to end ileostomy for patients who have undergone total proctocolectomy. The procedure reached its height of popularity in the late 1960s and early 1970s, but has been supplanted by restorative proctocolectomy, an operation that preserves the natural route of defecation. Continent ileostomy is still appropriate for selected patients with ulcerative colitis and familial polyposis who are not candidates for restorative proctocolectomy, for whom restorative proctocolectomy or end ileostomy have failed, and in a few other selected cases...
February 2008: Clinics in Colon and Rectal Surgery
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