Abstract
Continent ileostomies (i.e., an “ileostomy without a bag” that consists of an ileal reservoir and a valve mechanism) are very rare, and due to the necessary expertise only performed by a few specialized centers. Nonetheless, patients with existing continent ileostomies may present to general surgeons who will require a baseline understanding of continent ileostomy function, possible complications, and solutions to avert a catastrophe. This chapter describes these strategies for management of complications related to existing continent ileostomies.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Further Reading
American Medical Association. Current procedural terminology: CPT ®. Professional ed. Chicago: American Medical Association; 2022. https://www.ama-assn.org/practice-management/cpt.
Aytac E, Ashburn J, Dietz DW. Is there still a role for continent ileostomy in the surgical treatment of inflammatory bowel disease? Inflamm Bowel Dis. 2014;20:2519–25.
Barnett WO. Modified techniques for improving the continent ileostomy. Am Surg. 1984;50:66–9.
Beck DE. Continent ileostomy: current status. Clin Colon Rectal Surg. 2008;21:62–70.
Kaiser AM. Kock pouch dysfunction. In: McGraw-Hill Manual Colorectal Surgery. Access Surgery; 2009. Retrieved November 14, 2022, from https://accesssurgery.mhmedical.com/book.aspx?bookID=425.
Kaiser AM. T-Pouch: results of the first 10 years with a nonintussuscepting continent ileostomy. Dis Colon Rectum. 2012;55:155–62.
Kaiser AM, Stein JP, Beart RW Jr. T-pouch: a new valve design for continent ileostomy. Dis Colon Rectum. 2002;45:411–5.
Kock NG. Intra-abdominal “reservoir” in patients with permanent ileostomy. Preliminary observations on a procedure resulting in fecal “continence” in five ileostomy patients. Arch Surg. 1969;99:223–31.
Murrell Z, Fleshner P. Ulcerative colitis: surgical management. In: Beck DE, The ASCRS, editors. Textbook of colon and rectal surgery. 2nd ed. New York: Springer; 2011. p. 479–97.
Nessar G, Fazio VW, Tekkis P, et al. Long-term outcomes and quality of life after continent ileostomy. Dis Colon Rectum. 2006;49:336–44.
Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. BMJ. 1978;2:85–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Noren, E.R., Kaiser, A.M. (2022). Management of Problems Related to an Existing Continent Ileostomy. In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_52
Download citation
DOI: https://doi.org/10.1007/978-3-030-81415-1_52
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-81414-4
Online ISBN: 978-3-030-81415-1
eBook Packages: MedicineMedicine (R0)