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Doctor insights on: What Is The Difference Between Kock Pouch And Bcir

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Can you tell me the difference between a kock pouch and the bcir pouch?

Can you tell me the difference between a kock pouch and the bcir pouch?

Valve Type: Both of these are types of continent ileostomy pouches that store stool intra-abdominally and allow the user to drain it through a catheter at will. The difference between the two is in the exit valves and associated complications - the bcir is really just a newer modification to the original kock pouch. ...Read more

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Can a bcir surgeon help me with my kock pouch?

Probably: They should be able to, but it is always wise to follow-up with your original surgeon. ...Read more

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What exactly is a kock pouch?

Waste Reservoir: A kock pouch is a continent ileostomy formed through surgery after a colectomy. Basically, it's an pouch inside the abdomen (created from the intestines) that allows stool to accumulate inside the body and be emptied through a catheter in the abdomen at will. This procedure is used to avoid tradition colostomy bags and improve a patient's quality of life. ...Read more

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I have a k pouch and have very low energy. What is the best way to regain my energy? Some foods mainly vegetable's are not a option due to my k pouc

I have a k pouch and have very low energy.  What is the best way to regain my energy?  Some foods mainly vegetable's are not a option due to my k pouc

Exercise: You should exercise more. I know it is difficult with a k pouch, however i would speak with your surgeon about what can and can not be physically tolerated. I hope this helps. ...Read more

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Can I eat anything I want after the bcir?

Can I eat anything I want after the bcir?

Diet after BCIR: Probably no. I would start with bland foods and advance slowly. I am sure there willbe a nutrionist in the hospital for nutritional counseling. High acidity foods and concentrated foods (high on fat) are likely to trigger diarrhea and discomfort. ...Read more

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How is a bcir done, and what are the failure rates and the somewhat-poor-outcome rates?

How is a bcir done, and what are the failure rates and the somewhat-poor-outcome rates?

BCIR: The bcir is a surgically-created pouch, or reservoir, on the inside of the abdomen, made from the last part of the small intestine (the ileum), and is used for the storage of intestinal waste. For details: www.Bcir.Com. ...Read more

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Do I need to limit my diet after bcir?

Do I need to limit my diet after bcir?

Yes to a degree: Ileal resevoirs are frought with complications but one can male their life easier by maintaining an ileostomy type of diet. This means avoiding foods that we would consider undigestible (corn). This makes irrigation and elimination much easier. ...Read more

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What is the mortality rate for the bcir operation?

What is the mortality rate for the bcir operation?

Depends!: It's going to depend on your surgeon's expertise, the hospital you choose, your disease state, your current anatomy, your surgical history, other major health issues (like kidney, heart, lung or liver disease), the medications you take (eg immunosuppressants). In general, i would imagine death to be less than 1 in a 100. You should consult with an expert: http://www.Fascrs.Org/. ...Read more

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If there is no bcir surgeon nearby, what do you recommend?

If there is no bcir surgeon nearby, what do you recommend?

IBD surgeon: I would make sure that you are being seen by a general / colorectal surgeon with a lot of experience with ibd. If that is the case, ask him/her for a referral to a tertiary center where there is a surgeon who would be able to perform this for you. ...Read more

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What is the success rate of the bcir operation?

What is the success rate of the bcir operation?

Good: The success rate is quite good, however make sure it is being performed by an experienced surgeon. ...Read more

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Do I have to get up in the middle of the night to drain the bcir?

Do I have to get up in the middle of the night to drain the bcir?

Sometimes: Bcir may require nocturnal emptying. It is not the gold standard anymore after panproctocolectomy. Ileal pouch is preferred ...Read more

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Is there a large blood loss during the bcir surgery?

Is there a large blood loss during the bcir surgery?

No.: The barnett continent intestinal reservoir is a type of permanent ileostomy for patients with inflammatory bowel disease which does not require wearing a bag. Like any intestinal surgery, some blood loss is common. However, it is rare to require a blood transfusion. ...Read more

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Is there a connection between male sexual function and a bcir pouch?

Is there a connection between male sexual function and a bcir pouch?

Not the pouch: The operation that removes the rectum and and the rest of the colon can be complicated by both retrograde ejaculation as well as erectile dysfuction due to two sets of nerves that can be injured while operating. The pouch itself is not the problem. If present after ther operation it would be wise to see a urologist. ...Read more

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Do I need a blood transfusion after bcir?

Do I need a blood transfusion after bcir?

It depeds: You may need transfusion if your blood level low to, you may not if you blood level is adequate? ...Read more

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