Abstract
The Kock Pouch was developed by Professor Nils Kock in Göteborg, Sweden, in 1969. Professor Kock had been working with a continent urinary pouch in cats for approximately 7 years prior to first doing a continent ileostomy in humans. Initially, and during the early 1970s, multiple authors had reported on the outcome of patients undergoing a Kock pouch procedure. The indications at that time were specifically for patients not wishing to have a conventional ileostomy, as this was one alternative to total proctocolectomy and ileostomy. It provided the patient with a mechanism for continence, and overcame a significant number of psychosocial problems related to a conventional ileostomy. However, the procedure itself was, and still is, a complex one, with numerous complications. In fact, initially, the revision rate due to leakage from the continent ileostomy was reported in the 50% range. Initially, the outlet valve from the Kock Pouch was brought out obliquely through the rectus muscles in order to provide a mechanism of continence: in the early 1970s the “nipple” valve was introduced for the same purpose. However, there were problems with stabilization and sliding of the valve which required reoperations.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
Bibliography
Arges MV, Dozois RR, Beahrs OH. Volvulus of the Kock pouch with obstruction and perforation: a case report. Aust N Z J of Surg 1981;51:311–313.
Cranley B. The Kock reservoir ileostomy: a review of its development, problems and role in modern surgical practice. Br J Surg 1983;70:94–99.
Dozois RR, Kelly KA, Ilstrup D, et al. Factors affecting revision rate after continent ileostomy. Arch Surg 1981;116:610–613.
Fazio VW, Church JM. Complications and function of the continent ileostomy at the Cleveland Clinic. World J Surg 1988;12:148–154.
Gottlieb LM, Handelsman JC. Treatment of outflow tract problems associated with continent ileostomy (Kock pouch). Report of six cases. Dis Colon Rectum 1991;34:936–940.
Handelsman JC, Gottlieb LM, Hamilton SR. Crohn’s disesae as a contraindication to Kock pouch (continent ileostomy). Dis Colon Rectum 1993;36:840–843.
Kock NG. Ileostomy without external appliances: a survey of 25 patients provided with intra-abdominal intestinal reservois. Ann Surg 1971;173:545–550.
McLeod RS, Churchill DN, Lock AM, et al. Quality of life of patients with ulcerative colitis preoperatively and postoperatively. Gastroenterology 1991;101:1307–1313.
Palmu A, Sivula A. Kock’s continent ileostomy: results of 51 operations and experiences with correction of nipple valve insufficiency. Br J Surg 1978;65:645–648.
Schrock TR. Complications of continent ileostomy. Am J Surg 1979;138:162–169.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer Science+Business Media New York
About this chapter
Cite this chapter
Cohen, Z., McLeod, R.S. (1999). Proctocolectomy with the Kock Pouch. In: Michelassi, F., Milsom, J.W. (eds) Operative Strategies in Inflammatory Bowel Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1396-3_12
Download citation
DOI: https://doi.org/10.1007/978-1-4612-1396-3_12
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7130-7
Online ISBN: 978-1-4612-1396-3
eBook Packages: Springer Book Archive