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Reply to "Advice for a possible new J-Poucher"

Willie, if your anal sphincter is no longer present, your options to continuing with an ileostomy are the k pouch and the BCIR. These procedures are similar in that the surgeon creates an internal pouch (similar to a j pouch) that is emptied 3-5 times a day with a plastic catheter.  The stoma is located below the belt line, is button hole size and does not need an external bag. There would be no problem being a “normal teen” including swimming, sports and a normal sex life.  These procedures entail only one hospital stay and I was doing most of my usual activities four months after my BCIR surgery. A significant percentage of k pouches and BCIR’s are performed on people who desire conversion from ileostomies that are problematic or to improve their quality of life and they have a high patient satisfaction.  As with any surgery, there are chances for complications that you should be aware of before making your decision.  Best of luck with whatever you decide to do.

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