The kock pouch: a continent ileostomy with no appliance.

In this new operation, a pouch or reservoir is fashioned out of terminal ileum with a valve mechanism at its exit to the skin surface. This allows storage of the liquid bowel contents in an expandable container with no leakage of stool or gas and therefore no skin problems. There is no need for appliances or bags, no embarrassment from the involuntary noise and smell of flatus through the ileostomy. The stoma is created flush and within the bikini line. The patient catheterizes the pouch on an average of three times a day.Not only does this procedure solve many of the complications of a conventional ileostomy, but it helps decrease the amount of emotional trauma suffered by the young ileostomist, greatly improving the quality of life.