Conversion of Failed J Pouch to Kock Pouch: Indications, Contraindications, and Outcomes

Conversion of the j pouch to a continent ileostomy is a significant surgical procedure aimed at creating a well-functioning reservoir with a high-quality valve mechanism while preserving as much small bowel as possible. This study provides an overview of the indications, contraindications, technical principles, and outcomes of such conversions. It concludes that the conversion of the j pouch to a continent ileostomy can be a successful option for patients experiencing j pouch failure, with proper expertise and careful consideration of exceptions.