A Kock pouch is a continent pouch formed by the terminal

ileum The ileum () is the final section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear and the terms posterior intestine or distal intestine may ...

after

colectomy Colectomy (''wikt:colo-#Prefix, col-'' + ''wikt:-ectomy#Suffix, -ectomy'') is the surgical removal of any extent of the Large intestine#Structure, colon, the longest portion of the large bowel. Colectomy may be performed for prophylactic, curativ ...

. The procedure was detailed and first performed in 1969 by Dr.

Nils Kock Nils G. Kock (January 29, 1924 – August 24, 2011) was a professor of surgery who taught and practiced at the University of Gothenburg, Gothenburg, Sweden. Kock was noted for his research, experimentation, and colorectal surgical techniques. T ...

. __TOC__

Indications

Kock pouch ileostomy is indicated for patients who are unfit for ileal pouch anal anastomosis (IPAA) because the anus and anal sphincter will be removed during the operation; and patients who develop severe

incontinence Incontinence or Incontinent may refer to: * Urinary incontinence, the most commonly occurring type of incontinence, the involuntary excretion of urine *Fecal incontinence Fecal incontinence (FI), or in some forms, encopresis, is a lack of con ...

after IPAA.''Nils G. Kock''
Classic Article; foreword by Corman, Marvin L., M.D.; March 1994; Springer (web); Volume 37, Issue 3; excerpt from "Diseases of the Colon & Rectum"; Chapter: Intra-abdominal 'Reservoir' in Patients With Permanent Ileostomy; Pp. 278–279. A Kock pouch need not be created during the initial colectomy surgery.

Details

The pouch has a volume of 500ml to 1000ml so that

feces Feces (also known as faeces American and British English spelling differences#ae and oe, or fæces; : faex) are the solid or semi-solid remains of food that was not digested in the small intestine, and has been broken down by bacteria in the ...

can be stored temporarily, and the patient does not need to carry a

stoma bag An ostomy pouching system is a prosthetic medical device that provides a means for the collection of waste from a surgically diverted biological system (Colon (anatomy), colon, ileum, urinary bladder, bladder) and the creation of a stoma (medici ...

. This improves the patient's quality of life. A valve is constructed by intussusception of the terminal ileum,Kock pouch
Medical Dictionary online; retrieved March 2014. containing the stored faeces.

References

Digestive system Abdominal surgical procedures {{Surgery-stub