Surgical Management of Ulcerative Colitis - Department of Surgery ...
Surgical Management of Ulcerative Colitis - Department of Surgery ...
Surgical Management of Ulcerative Colitis - Department of Surgery ...
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www.downstatesurgery.org<br />
Continent Ileostomy/ Koch Pouch<br />
• 45-50cm <strong>of</strong> terminal ileum is used<br />
• The proximal 30-35cm is fashioned into a pouch<br />
• The outflow tract is intussuscepted & sutured/stapled<br />
creating a nipple valve<br />
• The reservoir is sutured to the peritoneum & fascia<br />
• The efferent limb is externalized as a flush stoma<br />
• Passing a s<strong>of</strong>t plastic tube through the nipple valve<br />
empties the pouch<br />
Maingot 11th ed
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