History of the pouch.- Preclinical studies.- Development.- Indications.- Contraindications.- Patient information.- Techniques .- Converting a pelvic pouch to a Kock pouch.- The Kock pouch as a pelvic pouch.- Pre-, per- and post-operative strategy.- Postoperative care.- Stoma therapists.- Follow up and surveillance.- Problems.- Pouchitis.- Complications .- Re-operations.- Failure.- Alternative models
This book is about the recently revived technique of Kock pouch in inflammatory bowel disease. It discusses the Kock pouch as an alternative to patients not suitable for a pelvic pouch or where the pelvic pouch has failed. It provides clinicians with all the necessary information on patient guidance and surgical revisions after a long life with a Kock pouch. The reader will learn about the development of the pouch, pre and post-operative strategies, surveillance, complications and the limitations and weaknesses of the method. New pioneering experimental methods used by the authors are also discussed.
The use of ileorectal anastomosis and Kock's continent ileostomy has regained interest as the long term problems of the pelvic pouch have and this book brings the knowledge and valuable experiences of a few experts at international centres to a large audience.
This is an indispensable guide for colorectal surgeons, gastroenterologists and stoma therapists involved in the care of patients with inflammatory bowel disease where colectomy is still needed, either in an emergency setting or due to dysplasia or cancer.
Par Myrelid is senior consultant colorectal surgeon at the Department of Surgery at Linkoeping University Hospital where he was head of the Colorectal Unit 2009-15. He was trained in Linkoeping but was also senior fellow in IBD surgery at Oxford University Hospitals. He wrote his PhD thesis on surgery and immunomodulation in Crohn's disease. He has written guidelines for the Swedish Gastroenterology Society on Perianal Crohn's disease and been expert in guidelines on biological therapy in IBD for the Swedish Medical Products Agency. He has published numerous articles within colorectal surgery and especially on surgery within IBD and a reviewer of numerous journals within gastroenterology and surgery and is also associate editor of Colorectal Diseases. Together with Mattias Block and Jonas Bengtsson he has also arranged an international work shop on Kock pouch surgery and has previously arranged a number of national and international meetings within the field. He is currently the president of the Swedish Society of Colorectal Surgery.
Mattias Block is senior consultant colorectal surgeon at the Department of Surgery at Sahlgrenska University Hospital/OEstra where he also is head of the Colorectal Unit. He was trained at the hospitals of Uddevalla/Trollhattan as well as Sahlgrenska and has been working within the trauma unit at Tygerberg Hospital, Cape Town, South Africa. He wrote his PhD thesis on reconstructive surgery and pathophysiological aspects in Ulcerative Colitis. He has published numerous articles within colorectal surgery and especially on surgery within IBD. He is reviewer and member of the editorial board in various scientific papers. He has held several presentations concerning IBD surgery, both in surgical environment and for the general public. Together with Par Myrelid and Jonas Bengtsson he has also arranged an international work shop on Kock pouch surgery and has previously arranged a number of national and international meetings within the field.