Kock pouch

{{Infobox medical intervention | name = Kock pouch | image = | caption = | alt = | pronounce = | field = gastroenterology | synonyms = | ICD10 = | ICD9 = | ICD9unlinked = | CPT = | MeshID = | LOINC = | other_codes = | MedlinePlus = | eMedicine = }} A '''Kock pouch''' is a continent pouch formed by the terminal ileum after colectomy. The procedure was detailed and first performed in 1969 by Dr. Nils Kock. {{cn|date=February 2022}} __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 after IPAA.<ref name="Reservoir">[https://link.springer.com/article/10.1007/BF02048167#page-1 ''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.</ref>

A Kock pouch need not be created during the initial colectomy surgery.{{cn|date=February 2022}}

==Details== The pouch has a volume of 500ml to 1000ml so that feces can be stored temporarily, and the patient does not need to carry a stoma bag. This improves the patient's quality of life. A valve is constructed by intussusception of the terminal ileum,<ref>[http://medical-dictionary.thefreedictionary.com/Kock+pouch Kock pouch]; Medical Dictionary online; retrieved March 2014.</ref> containing the stored faeces.<ref name="Reservoir"/>

==References== {{Reflist}}

{{DEFAULTSORT:Kock pouch}} Category:Digestive system Category:Abdominal surgical procedures