Continent ileostomy Dec. 07, 2022 Overview إظهار النسخة النصية Overview Many people are unaware of the continent ileostomy procedure and what a benefit it can be for them. When the procedure is done by experienced physicians, outcomes lead to a greater quality of life for patients. [MUSIC PLAYING] SHERIEF SHAWKI: Not everybody is completely familiar and aware of the continent ileostomy When it's done by the right people in the right place that knows how to create, maintain, and take care of the post-operative course and take care of the complications, the outcomes are almost equivalent to the outcomes of the ileal j-pouch. If somebody has incontinence, you cannot give them ileal j-pouch, because they will become miserably incontinent on a daily basis or hourly basis. Therefore, this patient can be fit for continent ileostomy. How the continent ileostomy is built requires two components. Number one is to build the reservoir, the pouch, and number two, to create the valve that provides the continents with the exit conduit that basically allows the tube to go from the skin into the house to take the stool out. It doesn't have a bag or any part of the bowel protruded above the skin level. The indicated person to fit for the continent ileostomy, they have to be motivated, neurocognitive. They have to be able to intubate their pouch. So their hands have to be functioning. And they have to understand how to maintain and care for their own internal pouch. And then, we educate them about what to expect during their hospital stay and what they're going to encounter and experience after surgery while they are on the floor. And during that period, they are seen by us, the surgical team, and they are seen by the stoma nurse They get to learn how to intubate and how to empty their pouches. We get to see how the irrigation is done. We teach them everything hands on. Patients come back and say, this pouch gave me my life back. Literally, I've had people telling me, I have lived the best years of my life. [MUSIC PLAYING] VID-20542954 المتخصصون في المجالات الطبية Continent ileostomy