The Kock Pouch

Description

This book is about the recently revived technique of Kock pouch in inflammatory bowel disease. It discusses the Kock pouch as an alternative to patients not suitable for a pelvic pouch or where the pelvic pouch has failed. It provides clinicians with all the necessary information on patient guidance and surgical revisions after a long life with a Kock pouch. The reader will learn about the development of the pouch, pre and post-operative strategies, surveillance, complications and the limitations and weaknesses of the method. New pioneering experimental methods used by the authors are also discussed. The use of ileorectal anastomosis and Kock’s continent ileostomy has regained interest as the long term problems of the pelvic pouch have and this book brings the knowledge and valuable experiences of a few experts at international centres to a large audience. This is an indispensable guide for colorectal surgeons, gastroenterologists and stoma therapi sts involved in the care of patients with inflammatory bowel disease where colectomy is still needed, either in an emergency setting or due to dysplasia or cancer. Front Matter ....Pages i-viii History of the Continent Ileostomy (Helge E. Myrvold, Leif Hultén)....Pages 1-17 Indications (Thomas Hallgren)....Pages 19-27 Contraindications (Mattias Block)....Pages 29-34 Patient Information (Christina Schulz, Rune Sjödahl)....Pages 35-41 Kock Pouch Construction (Pär Myrelid, Mattias Block)....Pages 43-53 Kock Pouch Construction: Our Approach (Mantaj S. Brar, Anthony de Buck Van Overstraeten, Michael Corrin, Robin McLeod, Zane Cohen)....Pages 55-65 Converting a Pelvic Pouch to a Kock Pouch (Jonas Bengtson, Anna Solberg)....Pages 67-71 Kock Pouch as a Pelvic Pouch (Mattias Block)....Pages 73-79 Post-operative Care (Pär Myrelid)....Pages 81-85 Early Post Operative Complications (Neil Mortensen)....Pages 87-91 The Role of the Enterostomal Therapist for Patients Operated with a Kock Pouch (Eva Carlsson, Åsa Gustafsson, Anne-Marie Hallén)....Pages 93-111 Follow Up and Surveillance (Janindra Warusavitarne, Phil Tozer)....Pages 113-116 Pouchitis (Hagit Tulchinsky)....Pages 117-134 Late Complications (Pär Myrelid, Anton Risto)....Pages 135-142 Management of de Novo Crohn’s Disease after Reconstructive Surgery with Continent Ileostomy in Ulcerative Colitis (Henrik Hjortswang)....Pages 143-165 Quality of Life and the Continent Ileostomy (Tom Øresland)....Pages 167-172 Reoperations (Jonas Bengtson, Anna Solberg)....Pages 173-182 Failure (Hans H. Wasmuth, Mattias Block)....Pages 183-187 Alternative Methods to the Kock Continent Ileostomy (Tom Øresland)....Pages 189-199 Back Matter ....Pages 201-206