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In short. a K (Kock Pouch) is a continent internal reservoir with an internal valve, all fashioned from the last couple of feet of the small intestine. A plastic catheter is inserted into a flat to the skin stoma opening, through the valve, and into the internal pouch to facilitate draining waste a few times a day. There are a small number of surgeons who still offer this alternative to the conventional Brooke Ileostomy which requires an external appliance. I’ve had a K pouch since 1981.

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