The Kock continent ileostomy--radiology of dysfunctions.
Some patients who have undergone coloproctectomy due to colitis or polyposis with a continent ileostomy constructed ad modum Kock reveal postoperative, secondary abnormalities and dysfunction. The radiological appearance of the pouch in six such patients who complained of incontinence and/or difficulties to catheterize is reported and the findings are correlated with the findings at subsequent surgery and/or endoscopy. It can be concluded that radiology can contribute substantially to the morphodynamic assessment of patients with dysfunction of a Kock ileostomy whereas endoscopy easily depicts mucosal lesions.
D000328:Adult; D004724:Endoscopy; D005242:Fecal Incontinence / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects* / Q000379:methods; D007082:Ileum / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D011859:Radiography; D012086:Reoperation