Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Colorectal Cancer Health Center

Select An Article

Caring for a Continent Ileostomy or K-Pouch

Font Size

What Is a Continent Ileostomy?

The continent ileostomy, or K-pouch, is a connection of the end of the small intestine, called the ileum, to the skin of your abdomen. It allows waste to be drained. Unlike other ileostomies, the K-pouch or Kock ileostomy, has a valve made by sewing the intestine in a special way so that waste material doesn't leak out; rather, a tube called a catheter is inserted when it's time to empty the pouch.

As the pouch fills with intestinal contents (liquids, partly digested food, etc.), pressure builds up on the pouch and its many stitches. If this is not relieved, the pouch could perforate or tear from the excessive stretching or the valve could slip or leak.

Recommended Related to Colorectal Cancer

Understanding Colorectal Cancer -- The Basics

Inside your abdominal cavity is the long, tubular digestive tract. The second part of this tube -- the large intestine -- is composed of the colon, which stretches 4 feet to 6 feet, and the rectum, which is only 4 inches to 6 inches long. The inner lining of this "colorectal tube" can be a fertile breeding ground for small tumors, called polyps (Figure 1). About a quarter of all adults in the U.S. older than age 50 will have at least one colorectal polyp. Most colorectal cancers develop from polyps...

Read the Understanding Colorectal Cancer -- The Basics article > >

How Often Do I Drain the K-Pouch or Continent Ileostomy?

The best way to prevent problems is to drain your K-pouch as instructed by your doctor. How often to drain the pouch varies from person to person, but there are some general guidelines. Right after the operation, you will have what doctors call an indwelling catheter, meaning that the drainage tube will be left in the pouch to drain continuously. This will last for about three to four weeks to allow the pouch to mature. After the catheter is removed you will drain the pouch several times per day. The number of times you need to drain the pouch each day becomes less over time.

Please discuss your specific needs with your doctor, surgeon, or enterostomal therapist (ET), a nurse who specializes in the care of stomas. Most likely, this person has met with you before the operation and has instructed you on how to take care of your stoma, ostomy, or pouch.

General Guidelines for Draining the K-Pouch

The following are general guidelines for draining the K-pouch. Constant drainage is recommended for the first three to four weeks for a new pouch. If the catheter or tube accidentally falls out before that time, you can easily put it back with these simple steps:

  • Relax your abdominal muscles. It may be helpful to bend your knee as you relax your muscles.
  • Relubricate the catheter with water-soluble lubricant (such as K-Y Jelly, Surgical Lubricant, or Surgilube; DO NOT use Vaseline or products containing petroleum jelly).
  • Reinsert the catheter up to the preset mark. If you have difficulty with this, relax, change positions and try again.
Next Article:

Today on WebMD

Colorectal cancer cells
The right diagnosis is the most important factor.
man with a doctor
Our health check will steer you in the right direction.
sauteed cherry tomatoes
Fight cancer one plate at a time.
bladder cancer x-ray
Do you know the warning signs?
Colon vs Rectal Cancer
New Colorectal Treatments
can lack of sleep affect your immune system
Cancer Facts Quiz
Virtual Colonoscopy
Picture of the Colon
Vitamin D