Continent ileostomy is an alternative to end ileostomy for patients who have undergone permanent ostomy and avoids the need for an external appliance for the collection of intestinal waste
In a series of interviews, we will be previewing this year’s 15th International Colorectal Meeting in Turin, 16-18 April. We talked to Professor Tom Oresland from Akershus University Hospital, Norway, about the benefits of continent ileostomy (Kock pouch) and some of the key topics he will be discussing during his presentation at the meeting.
Continent ileostomy is an alternative to end ileostomy for patients who have undergone permanent ostomy and avoids the need for an external appliance for the collection of intestinal waste. The procedure is also an alternative for patients who are seeking continence and an improvement in their quality of life.
“The advantage of the continent ileostomy compared to other procedures is that it is an option for those patients who want a continent solution despite having lost their anal sphincter, it is an option when the pelvic pouch fails,” explained Professor Oresland. “I believe that when it works it is really well, it is the preferred solution compared to the pelvic pouch.”
Regarding the procedure itself, Professor Oresland said that as the procedure utilises 45cm of the ileum, it is preferred that patients should not have lost any small bowel before the procedure. Although the procedure does bring several benefits, as with all surgical procedures, the procedure does carry an element of risk.
Therefore, he said there are two key issues that must be considered. Firstly, there is a considerable risk of revisional surgery/ies and he stressed the importance that patients are informed of this possibility, so they are ready to cope should additional surgery be required. Secondly, he emphasised the importance of having a dedicated post-operative care team around the patient who will not only use their experience in selecting the right patients, but also quickly identify any complications and help support patients post-operatively for years to come.
“Some of the topics regarding continent ileostomy that I will highlight during my presentation in Turin will include the need for specialised centres, the procedure being utilised as an alternative when the pelvic pouch fails, the willingness of patients to undergo multiple revisional surgeries as an indicator of how good it is when it works and the possibility of offering this operation to patients who has had Crohns colitis and have proven over time that their small bowel is not affected by the disease,” he concluded. “I am looking forward to Turin conference and meeting many of my colorectal colleagues from around the world.”
For more information about 15th International Colorectal Meeting (registration, accommodation, programme etc), please click here