VA103 - K Pouch Creation in the Setting of failed J Pouch

Tuesday, May 12, 2026

9:27 AM - 9:34 AM ET

Video Abstract Presenter(s)

Eren Esen, MD

Surgery Resident
NYU Langone Health
NYU Langone Health
New York, NY, United States

All disclosed relationships have been reviewed and managed prior to the start of this activity. Any relevant relationships will be listed below. This individual has no financial relationships to disclose

Author(s)

DM

Damee Moon, n/a

MD/PhD Candidate
NYU Grossman School of Medicine
New York, New York, United States

Disclosure information not submitted.
Iram S. Alam, MD (she/her/hers)

General Surgery Resident
NYU Langone Health
NYU Langone Health
Long Island City, NY, United States

All disclosed relationships have been reviewed and managed prior to the start of this activity. Any relevant relationships will be listed below. This individual has no financial relationships to disclose

Senior Author(s)

David Dietz, MD, MHCDS

Professor and Vice Chair for Value and Clinical Transformation, Department of Surgery
NYU Grossman School of Medicine
new york, New York, United States

Disclosure information not submitted.

Purpose/Background: Continent ileostomy (also known as K pouch) is a technique to provide better quality of life in patients otherwise deemed to have conventional ileostomy. Nowadays, few surgeons are familiar with continent ileostomy surgery but it still has a role in carefully selected patients who are either unsuitable for an IPAA, have a failed IPAA that cannot be salvaged, or whose conventional ileostomy is not consistent with an adequate quality of life. We aimed to describe our technique to create K pouch in a patient who had a failed J pouch.

Methods/Interventions: Our patient was a 37 year old female who had a J pouch due to medically refractory ulcerative colitis which got complicated with anastomotic strictures requiring multiple dilations. She had poor sphincter function, therefore was not a candidate for re-do IPAA. K pouch was recommended.

Results/Outcomes: We performed a K pouch successfully on our patients. She had no complications postoperatively.

Conclusion/Discussion: The continent ileostomy retains an important, although small, role in the surgical treatment of patients with inflammatory bowel disease and hereditary colorectal cancer syndromes. Continent ileostomy provides an alternative to the conventional ileostomy for patients who are not candidates for IPAA or who have an existing ileostomy that is adversely affecting their lifestyle.