Akademik Veri Yönetim Sistemi
XX. Ulusal ve III. Uluslararası Türk Kolon ve Rektum Cerrahisi Kongresi , Antalya, Türkiye, 16 - 20 Mayıs 2025, ss.126-127, (Özet Bildiri)
Objective: Continent ileostomy (CI) was popularized by Nils Kock as a method to maintain fecal continence following proctocolectomy, primarily in patients with ulcerative colitis. While ileal pouch-anal anastomosis (IPAA) is now the most common approach for restoring continence after total proctocolectomy, CI remains a viable option for highly selected patients who are not candidates for IPAA or have irreparable IPAA dysfunction but still desire fecal continence. CI continues to offer a pathway for appropriately selected patients to achieve the highest possible quality of life and functional status after total proctocolectomy. Materials-Methods: Three patients evaluated in the General Surgery Department of Akdeniz University between March 2024 and June 2024 were included in this study. The patients’ age, gender, comorbidities, preoperative laboratory findings, and SF-36 questionnaire results were recorded. Two patients had inflammatory bowel disease, while one had familial adenomatous polyposis. Results: The mean patient age was 38 (range: 37-39), and two patients (66.7%) were female. The preoperative hemoglobin level was 12.47 mg/dL. The preoperative CRP level was 52.67 mg/L, and the mean preoperative albumin level was 31.3 g/dL. On average, patients emptied their K-pouch five times per day, with only one patient occasionally needing to empty the ileal pouch at night. None of the patients required any assistive materials for pouch emptying. The average patient satisfaction rate was found to be 66.6%. Conclusion: The results indicate that, in appropriately selected patients, K-pouch ileostomy facilitates adaptation to normal life and enhances participation in daily activities. However, broader and more comprehensive studies are needed in the future to achieve more detailed and extensive results. Keywords: K-Pouch, inflammatory bowel diseases