TIES Implant Concerns: How Does It Affect the Intestine?

I had a continent ileostomy for over 25 years. A continent ileostomy means that an internal "pouch," created from the end portion of your intestine, is constructed with a drainage "hole" (actually a stoma). The pouch is then drained by inserting a catheter through the stoma and into the holding pouch. Over time, the size of this pouch can expand due to the weight of waste matter collected. This increased pouch size can then press on nearby organs and/or on the intestine, creating pain and obstructions. The TIES system sounds like a modification of the continent ileostomy, which is not performed routinely now because of problems with pouch valve collapse (the valve is the opening from the stoma's intestinal channel into the pouch). In the TIES system, there is no explanation of what happens to the waste as it collects behind the TIES lid. Waste material and gas must be backing up in the intestine itself, and there is no description of how this affects the intestine, bloating, etc. Is an intestinal holding pouch created? Or does "stuff" just back up in the intestine like when a blockage starts? That's a scary thought. I would recommend searching for clinical trial results conducted by reputable hospitals/clinics not affiliated with OstomyCure.

There have been a few posts about TIES in the past. I found one post below where someone who has actually had it done replied.

https://www.meetanostomate.org/discussion-forum/viewtopic.php?t=14210

-

Jayne from the UK has an interesting profile story too.

https://www.meetanostomate.org/index.php?page=view_profile&user_id=15273

You raise interesting and legitimate points. The TIES insert is placed into the stoma. A titanium ring is placed around the stoma and a plastic lid clips on the ring. The lid has a slider that allows for emptying. Ostomycures has patients who are now using the TIES Implant. I spoke with one of these patients for my article which just appeared in the Phoenix magazine. He had an ileostomy that was converted and has been wearing his implant for 3 years. The TIES patient just told me he, like other ostomates, eats a controlled diet and empties regularly. He is quite happy. This year, clinical tests will begin in several other countries, including the US. I am not aware of independent studies for pharmaceuticals or medical devices in the US. The FDA would have to approve TIES before general use in the US. As an ostomate for 17 years, I greatly appreciate and value your response.