Continent ileostomy (Kock pouch) is an alternative to end ileostomy for patients who
have undergone total proctocolectomy. The procedure reached the height of its popularity
soon after its introduction in 1969, but subsequently was supplanted by ileal pouch-anal
anastomosis (IPAA), 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 IPAA or for whom IPAA or end ileostomy have failed.
Complication rates that initially were high have decreased during the past three decades
following the steady introduction of technical improvements.
KEYWORDS
Continent ileostomy - Kock pouch - technique - review
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David E BeckM.D.
Department of Colon and Rectal Surgery
Ochsner Clinic Foundation, 1514 Jefferson Hwy.
New Orleans, LA 70121
eMail: dbeckmd@aol.com
