BCIR: An Alternative to Traditional Ileostomy?

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6
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6147
janice
Aug 06, 2009 2:39 pm
I read about this.  It is an INTERNAL bag that takes the place of an iliostomy. It collects the waste and you use a catheter to drain it several times a day.

Do you know anything about this?
Whoa
Aug 07, 2009 2:33 pm
Here's their web page:



www.bcirostomy.com   www.bcirostomy.com/faq.php



It is similar to a Kock pouch.  I have not had any patients that have done this specific procedure, and only 3 with a Kock pouch;not done so much in my area.  2 did fine, 1 had the pouch resected but due to her disease ended up being Crohns rather than UC (she had complications due to the Crohns).   It is not done for Chrons.
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ZACK
Dec 23, 2009 3:57 am
This is Zack, writing in December so maybe you are all set by now.  BY ALL MEANS CHECK OUT THE BCIR.  I was going to get the BCIR, didn't; had standard complete ileostomy.  Have always wondered how the irrigation procedure to evacuate waste would have worked out if one ate too much roughage or something too big for the irrigation tube they showed at the BCIR seminar.  Otherwise I regretted not doing it.  I had attended a detailed seminar by BCIR and was even 100% approved to have it done.  Missed while I went on a vacation, our insurance changed and they didn't want to pay for it so ended up with A "regular" ileostomy.  If you haven't yet by all means check it out.  It cost $40,000.00 in 1999 and it was then only done in their St Louis, Missouri hospital.
ZACK
Dec 23, 2009 4:08 am
This is Zack again; thought of more about the BCIR.  My surgeon knew as a colleague the Dr Kock who invented the first internal pouch and advised me that the BCIR was a great improvement on the KOCK's valve mechanism so it was virtually leakproof, BUT my Dr didn't like the idea of sacrificing so much of the small intestine to make the BCIR valve.  Other than that he said it was a great advance over the KOCK pouch.
Gus
Dec 23, 2009 7:06 am
Ya think it might be worth talking to my surgeon about this? I,m having para stomal hernias fixed sometime in the new year and not to carry a bag would so nice.
 

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lottagelady
Dec 23, 2009 7:38 am


Worth asking any question you don't know the answer to, worse they can say is no! XX
janice
Mar 18, 2010 9:43 pm
I can't have it done.  I don't have enough small bowel.