Hi Foxwoods,
First off, so sorry for what you are going through with your ileo...it sucks when it doesn't work properly...
So here is my best response to your question:
The original pouch was the k pouch which was a continent ileal reservoir tacked onto the abdominal wall with a hole for the valve and a stoma on the outside. You use a catheter or tube (reusable til it breaks)+lube to empty out the pouch using gravity + irrigating it with water when the contents become too thick. pluses? Continent, very few supplies need other than tube, lube and a 60cc syringe that is reusable. I cover mine with a folded up kleenex and 1/2 minipad stuck to the unddies.
The BCIR is a modified k pouch...it has about an equal success/failur rate depending on who you talk to and uses the same supplies.
They also require a total colectomy with a closed off bottom side (Barbie Butt)
The weakest link in both of them is the continent valve that is difficult to make and can slip, tear or twist.
The j pouch uses the same pouch as the k pouch or BCIR but uses the natural exit, a rectal cuff is left in and can retain a bit of UC in it or you can end up with cuffitis...
The biggest problem plagueing all pouches is pouchitis which can become chronic...needs a combination of antibiotics and probiotics to keep it check.
Most pouchers live productive and happy lives without giving their pouches a second thought...they are the silent majority...the rest of us vocal ones are the unfortunate few who have problems or need help.
Hope that this helps you to make a decision
Sharon

A j-pouch is an ileal pouch connected to the anus. You need to have your anus, sphincters, and several inches of your rectum left in order to have this procedure.

The Kock pouch (k-pouch) is a continent reservoir ileostomy. The BCIR is also a continent ileostomy, but with a different valve system. For both of these, an external appliance is not used. They are emptied periodically using a tube.

Jan

quote:

The Kock pouch (k-pouch) is a continent reservoir ileostomy. The BCIR is also a continent ileostomy, but with a different valve system. For both of these, an external appliance is not used. They are emptied periodically using a tube.

A "tube" is actually a medina or marlen catheter. Like the urostomy ones but size 30.
To empty the internal reservoir, the catheter is inserted into a stoma (it's flat on abdomen) while sitting on the toilet or standing over a sink or something similiar. The poo filters through from the pouch, through the catheter into the toilet, etc. It does not hurt.

Since the stoma is active tissue, you may need to keep a pad over it for mucous wetness.