A Kock pouch is a continent pouch formed by the terminal

ileum The ileum () is the final section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear and the terms posterior intestine or distal intestine ma ...

after

colectomy Colectomy ('' col-'' + '' -ectomy'') is bowel resection of the large bowel ( colon). It consists of the surgical removal of any extent of the colon, usually segmental resection (partial colectomy). In extreme cases where the entire large intestin ...

. The procedure was detailed and first performed in 1969 by Dr

Nils Kock Nils G. Kock (January 29, 1924 – August 24, 2011) was a professor of surgery who taught and practiced at the University of Gothenburg, Gothenburg, Sweden. Kock was noted for his research, experimentation, and colorectal surgical techniques. Th ...

. __TOC__

Indications

Kock pouch ileostomy is indicated for patients who are unfit for ileal pouch anal anastomosis (IPAA) because the anus and anal sphincter will be removed during the operation; and patients who develop severe

incontinence Incontinence or Incontinent may refer to: *Fecal incontinence, the involuntary excretion of bowel contents *Urinary incontinence, the involuntary excretion of urine * Lack of moderation or self-control, especially related to sexual desire - see I ...

after IPAA.''Nils G. Kock''
Classic Article; foreword by Corman, Marvin L., M.D.; March 1994; Springer (web); Volume 37, Issue 3; excerpt from "Diseases of the Colon & Rectum"; Chapter: Intra-abdominal 'Reservoir' in Patients With Permanent Ileostomy; Pp. 278–279. A Kock pouch need not be created during the initial colectomy surgery.

Details

The pouch has a volume of 500ml to 1000ml so that

feces Feces ( or faeces), known colloquially and in slang as poo and poop, are the solid or semi-solid remains of food that was not digested in the small intestine, and has been broken down by bacteria in the large intestine. Feces contain a relati ...

can be stored temporarily and the patient need not carry a

stoma bag An ostomy pouching system is a prosthetic medical device that provides a means for the collection of waste from a surgically diverted biological system ( colon, ileum, bladder) and the creation of a stoma. Pouching systems are most commonly asso ...

. This improves the patient's quality of life. A valve is constructed by intussusception of the terminal ileum,Kock pouch
Medical Dictionary online; retrieved March 2014. thereby containing the stored feces.

References

Digestive system Abdominal surgical procedures {{Surgery-stub