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Kock Pouches (an alternative to an end ileostomy) are now being formed by creating a reservoir behind the stoma whereby the patient does not wear a bag but catheterizes the stoma every 3 or 4 hours and a small stoma cap may be used to contain mucous leakage.

Patients can be offered this surgery following a failed pouch.

This is a major, technical operation requiring repeat surgery and has a 60% success rate.

“ I got to the point when I said look I’ve had enough I want to have the operation……I said look you have got to get someone to do something about this, I was up 22-24 times an hour. I had no control” At the JR one third of pouch patients do not have enough haemoglobin in their blood and 22% lack iron.