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Intra-abdominal "Reservoir" in Patients With Permanent Ileostomy Preliminary Observations on a Procedure Resulting in Fecal "Continence" in Five Ileostomy Patients

Nils G. Kock, MD
Arch Surg. 1969;99(2):223-231. doi:10.1001/archsurg.1969.01340140095014.
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During recent years much progress has been made in creating well functioning ileostomies in paients after panproctocolectomy. The development of the adherent ileostomy bag has to a great extent facilitated the care of these patients. In spite of all the progress in management of the ileostomy and in spite of the fact that most of the patients are very pleased with the ileostomy after a long disabling disease, there are still many drawbacks of even as well functioning unit.

The flow of intestinal content through the ileostomy is more or less continuous and not voluntarily controlled except to a small extent by the diet. Consequently the ileostomy bag contains more or less intestinal discharge most of the time and the possibility for leakage is present. Even with a proper ileostomy, leakage of intestinal discharge around the stoma can at least occasionally occur and this may initiate troublesome skin irritation. Some


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