Kock continent ileostomy in Indian patients

Reservoir (continent) ileostomy was performed in 16 of our cases who had undergone total proctocolectomy. The basic pathology in these cases was chronic ulcerative colitis. Four cases (25%) had to be re-operated for partial or complete extrusion of the nipple valve causing incontinence. Two of these cases needed a second revision. By improving the valve formation technique, the incidence of sliding of the exit-valve was reduced. Other postoperative complications also responded well to this treatment. The patients were followed for three to five years. Three cases need frequent evacuation, but the remaining 13 cases, including some who had undergone revisional surgery, are fully continent. This procedure is accepted well by our patients.