ileoanal reservoir

Introduction

Alternative to a permanent ileostomy.

Indications

• disorders of the colon precluding passage of feces
  • colectomy for
    • colorectal carcinoma
    • ulcerative colitis
    • familial polyposis coli
    • diverticulitis
    • bowel infarction
    • abdominal trauma

Procedure

• usually completed in two surgeries
• in the first surgery, the colon & rectum are removed & a pouch or reservoir is constructed from the last 18 inches of the small intestine
• this pouch is attached to the anus
• in the second surgery, the ileostomy is closed
• the muscles surrounding the anus & anal canal are left in place, so the stool in the pouch does not leak out of the anus

Notes

• people who have this surgery are able to control their bowel movements

More general terms

• intestinal surgery

Additional terms

• ileostomy (Kock Pouch)