Kock pouch

WordNet

1. send by special mail that goes through diplomatic channels
2. an enclosed space; "the trapped miners found a pocket of air" (同)sac, sack, pocket
3. a small or medium size container for holding or carrying things
4. (anatomy) saclike structure in any of various animals (as a marsupial or gopher or pelican) (同)pocket
5. put into a small bag
6. having a pouch

PrepTutorEJDIC

1. (革製の)小袋(たばこ入れ・さいふなど);郵便袋;(兵隊の)弾薬袋 / (カンガルーなどの)腹袋 / (動物の)ほお袋 / (目の下の)たるみ

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/03/13 07:48:21」(JST)

wiki en

[Wiki en表示]

A Kock pouch is a continent pouch formed by the terminal ileum after colectomy. The procedure was detailed and first performed in 1969 by Dr Nils Kock.

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 after IPAA.

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 can be stored temporarily and the patient need not carry a stoma bag. This improves the patient's quality of life. A valve is constructed by intussusception of the terminal ileum, thereby containing the stored feces.

See also

• Recto-uterine pouch

References

UpToDate Contents

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• 1. 膀胱切除術後の尿路変更および尿路再建 urinary diversion and reconstruction following cystectomy
• 2. Routine care of patients with an ileostomy or colostomy and management of ostomy complications
• 3. Radical cystectomy and bladder-sparing treatments for urothelial bladder cancer
• 4. 尿路変更後の腎合併症 renal complications following ureteral diversion
• 5. 潰瘍性大腸炎の外科的マネージメント surgical management of ulcerative colitis

English Journal

• Late intestinal obstruction after radical cystectomy and urinary diversion: urological and oncological perspectives.

• El-Hefnawy AS1, Helmy T1, Laimon M1, El-Halwagy S1, Abol-Enein H1.
• Scandinavian journal of urology.Scand J Urol.2016 Sep 2:1-6. [Epub ahead of print]
• OBJECTIVE: The aim of this study was to review different management modalities and outcome of patients presenting with late intestinal obstruction (IO) after radical cystectomy (RC) or palliative cystectomy (PC).MATERIALS AND METHODS: Files of patients who presented with IO between January 1978 and
• PMID 27589558

• Restorative proctocolectomy with two different pouch designs: few complications with good function.

• Sunde ML1,2, Øresland T1,2, Faerden AE1.
• Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.Colorectal Dis.2016 Aug 6. doi: 10.1111/codi.13478. [Epub ahead of print]
• AIM: The object of this study was to compare function and quality of life after restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis (IPAA) surgery with two different pouch designs.METHOD: Patients having RPC in an academic unit from 2000 who had had the loop-ileostomy closed by June
• PMID 27496246

• Colorectal Cancer Screening in Inflammatory Bowel Disease.

• Sengupta N1, Yee E2, Feuerstein JD3.
• Digestive diseases and sciences.Dig Dis Sci.2016 Apr;61(4):980-9. doi: 10.1007/s10620-015-3979-z. Epub 2015 Dec 8.
• Patients with long-standing ulcerative colitis (UC) or Crohn's colitis are at increased risk of developing colorectal cancer (CRC). Given that most cases of CRC are thought to arise from dysplasia, previous guidelines have recommended endoscopic surveillance with random biopsies obtained from all se
• PMID 26646250

Japanese Journal

• 膀胱全摘後の尿路変向術 自己導尿型代用膀胱 (腎・泌尿器癌--基礎・臨床研究のアップデート) -- (膀胱癌 臨床研究)

• 日本臨床 68(-), 306-309, 2010-04
• NAID 40017065274

• VP-005 Hemi-Kock pouch法による自然排尿型回腸新膀胱造設術(一般ビデオ「膀胱」,一般演題ビデオ,第97回日本泌尿器科学会総会)

• 日本泌尿器科學會雜誌 100(2), 310, 2009-02-20
• NAID 110007228843

• 症例 術後13年目に回腸導管に変更したKock pouch造設例

• 臨床泌尿器科 58(5), 327-329, 2004-04
• NAID 40006192432

Related Links

• Kock pouch | definition of Kock pouch by Medical dictionary

Kock pouch [kok] 1. the most common kind of continent ileal reservoir; see also ileostomy. 2. a surgically created urinary bladder made from a segment of isolated ileum. It consists of an afferent nipple, into which the ureters are ...

• The Kock Pouch procedure (Koch Pouch) and other Ileostomy ...

Barnett modification of the Kock Pouch (BCIR) or the Barnett Continent Intestinal Reservoir (BCIR) solves the complications of conventional ileostomy. ... The Kock Pouch Complication: The Slipped Valve The major problem with the ...

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★リンクテーブル★

リンク元	「禁制型尿路変向術」
関連記事	「pouch」

「禁制型尿路変向術」

　　[★]

英

continent urinary diversion

分類

• continent urinary reservoir CUR

• Kock pouch(K-pouch)
• Indiana pouch(I-pouch)
• Mainz pouch(M-pouch)

• 自然排尿型代用膀胱(neobladder,新膀胱)

Goldwasser法

• urethral Kock pouch法
• Hautmann法
• Studer法

デメリット

• metabolic complicationsリスク：(1)pouchに使った腸管からの尿成分の吸収、(2)尿路に用いる腸管が長くなるための機能腸管の実質的な減少　→　電解質・酸塩基平衡の異常、肝機能異常、糖代謝異常、骨代謝異常

「pouch」

　　[★]

• n.

• 嚢、ポーチ

関

bursa、bursae、cysterna、pit、sac