Related Experiment Video
Updated: Aug 22, 2025
08:20
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
13.2K
Continent ileostomies: what the radiologist needs to know
Kristina T Flicek1, Sherief F Shawki2
1Department of Abdominal Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Flicek.kristina@mayo.edu.
Abdominal Radiology (New York)
|November 9, 2022
Summary
Continent ileostomies, including Kock pouch and S-pouch, offer alternatives to traditional J-pouches. Radiologists must recognize their normal appearance and potential complications on imaging.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Oncology
Background:
- Continent ileostomies are surgical options for patients after total colectomy who cannot or prefer not to have a traditional J-pouch.
- These procedures offer an alternative to end ileostomy, preserving quality of life.
Purpose of the Study:
- To review the normal fluoroscopic and CT imaging findings of common continent ileostomies.
- To highlight the advantages of CT and fluoroscopy in evaluating these pouches.
- To discuss common complications associated with continent ileostomies.
Main Methods:
- Review of fluoroscopic and CT imaging characteristics of Kock pouch, S-pouch, and Barnett Continent Intestinal Reservoir.
- Comparison of CT and fluoroscopy utility for specific anatomical structures and pathologies.
- Discussion of imaging manifestations of common complications.
Main Results:
- CT is superior for evaluating the proximal small bowel and pouch for inflammatory bowel disease.
- Fluoroscopy excels in assessing the integrity of the nipple valve.
- Common complications include slipped nipple valve, pouchitis, fistulas, and polyps.
Conclusions:
- Radiologists must be familiar with the diverse types of continent ileostomies.
- Understanding normal imaging and potential complications is crucial for accurate diagnosis and patient management.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
192
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
192
01:24Ostomy Care
547
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
547
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
132
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
132
01:25Endoscopic Procedures II: Colonoscopy
170
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
170
01:14Imaging Studies I: CT and MRI
402
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
402
01:23Lower GI Series: Barium Enema
398
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
398