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Crohn's disease: A continent ileostomy uses about 18" of your intestine to create the internal pouch. If you have a chronic inflammatory process that can effect other areas of your small intestine in the future your risks of future surgery and having too little small bowel for nutritional support increase. If the small bowel is normal then continent ileostomy can be considered. ...Read moreSee 1 more doctor answer
Koch + J S W pouch: This is a complex subject and i understand your confusion. The conventional continent ileostomy is called a koch pouch and its opening is located on the abdomen. Other surgeons have described a variety of other procedures where the end is attached to the rectum using an lido-anal pull through technique with a pouch formed using a variety of configurations known the j, s, or w pouch modifications. ...Read moreSee 1 more doctor answer
Yes: It takes another surgical procedure.Get a more detailed answer ›
Not for ulc. colitis: If the ileostomy was done for rx of ulcerative colitis that wasn't responding to meds, then not needed. May need occasional meds for symptomatic rx, e.g. Antidiarrheals. Joint issues, eye issues, skin issues often resolve after removal of the colon. Liver issues may not. ...Read moreSee 1 more doctor answer
Controllable: An ileostomy is placement of the end of the small intestine out of an opening made in the abdominal wall. Most of these will drain or empty spontaneously, without any control. A valve can be constructed at the opening of the intestine (stoma) which will allow no drainage unless a catheter is passed into the opening--we call this a "continent" ileostomy. ...Read moreSee 1 more doctor answer
How should I decide when it is time to have continent ileostomy, especially if colitis is controlled?
Is it safer for a woman to bear a child with a traditional ileostomy versus a continent ileostomy being that the pouch is internal with a continent ileostomy ?
Some set backs: Most of the time will be small bowel problems partial or complete obstruction, trditional ileostomy will have least problems. In ci like j pouch as is existing precariouly, with poor blood supply, poor function, pouchitis, pelvic sepsis, etc gravid utereus will give problems to pouch and its function. ...Read moreSee 1 more doctor answer