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A technique for decompression of the obstructed Kock continent ileostomy
G A Tichenor1, B A Orkin, I C Lavery
1Department of Colon and Rectal Surgery, Cleveland Clinic Foundation, Ohio.
Surgery, Gynecology & Obstetrics
|January 1, 1990
Summary
A new technique safely and easily intubates difficult continent ileostomies using common materials. This method provides immediate decompression and drainage, aiding in planning further treatment for ileostomy issues.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Continent ileostomies can present challenges with obstruction and intubation.
- Difficulties in managing continent ileostomies necessitate innovative procedural approaches.
Purpose of the Study:
- To describe a safe and accessible technique for intubating difficult and obstructed continent ileostomies.
- To provide immediate management and facilitate planning for definitive treatment of ileostomy complications.
Main Methods:
- A straightforward intubation technique utilizing readily available materials.
- Implementation of immediate decompression and catheter drainage.
- Direct inspection of the ileal pouch and valve.
Main Results:
- The described procedure is safe and easily performed.
- Immediate decompression and catheter drainage are achieved.
- Facilitates direct visualization for treatment planning.
Conclusions:
- This technique offers a safe, simple, and effective solution for managing difficult continent ileostomies.
- The method provides prompt symptomatic relief and aids in surgical decision-making.