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Continent ileostomies: what the radiologist needs to know

  • Special Section: Ileal pouches
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Abstract

Continent ileostomies are performed in patients who are not candidates for or do not want a traditional J-pouch after total colectomy. In these cases, patients may opt for a type of continent ileostomy instead of an end ileostomy. The most common types of continent ileostomies include the Kock (K) pouch, S-pouch and Barnett Continent Intestinal Reservoir. The normal fluoroscopic and CT appearance of these types of continent ileostomies are reviewed. CT provides better evaluation of the proximal small bowel and pouch for inflammatory bowel disease, while fluoroscopy is superior in evaluating the nipple valve. Common complications of these types of continent ileostomies are discussed including slipped nipple valve, pouch inflammation, fistulas, and polyps. Radiologist should be familiar with the different types of continent ileostomies that exist and their common complications.

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Acknowledgements

The authors acknowledge the assistance of Desiree Lanzino Ph.D., Lucy Bahn Ph.D. and Sonia Watson Ph.D. in editing the manuscript.

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  1. Department of Abdominal Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA

    Kristina T. Flicek

  2. Department of Colorectal Surgery, Mayo Clinic, Rochester, MN, USA

    Sherief F. Shawki

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  1. Kristina T. Flicek
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  2. Sherief F. Shawki
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Correspondence to Kristina T. Flicek.

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Flicek, K.T., Shawki, S.F. Continent ileostomies: what the radiologist needs to know. Abdom Radiol 48, 2969–2977 (2023). https://doi.org/10.1007/s00261-022-03705-z

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  • DOI: https://doi.org/10.1007/s00261-022-03705-z

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