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3 Types Of Ostomy Surgical Procedures

What Are My Ostomy Options?

Certain diseases, such as ulcerative colitis or familial adenomatous polyposis, make it impossible for your colon to function normally. If you are dealing with either of these conditions, having your rectum and colon removed may be the only way to prevent complications and alleviate the symptoms you are experiencing. However, once these parts of your intestine have been removed, you will need an ostomy, which is an opening in the body that allows for the removal of waste.

In most cases, you will be able to choose from several ostomy options, these options include:

Ileoanal J-Pouch

One of the most common choices among ostomy patients is the ileoanal J-pouch. The J-pouch is a reservoir that connects the small intestine to the anal canal.


  • Some control over bowel movements.
  • No external bag


  • Can leak or cause irritation
  • Up to 7 stools per day
  • Can’t defer bowel movements for any more than one hour

Brooke Ileostomy

Also known as a conventional ileostomy, the Brooke ileostomy connects the small intestine directly to a stoma, which is an opening in your abdominal wall. Waste flows through your small intestine and out of this opening continuously.


  • Allows for the removal of waste safely


  • No control over elimination
  • Must wear external collection bag at all times
  • Collection bag may leak
  • Dietary changes may be required
  • Food blockages may occur
  • Stoma may protrude

Barnett Continent Intestinal Reservoir (BCIR)

The Barnett Continent Intestinal Reservoir, or “BCIR,” connects part of the small intestine to an internal reservoir made from another part of the small intestine. This reservoir is then connected to a stoma with a nipple valve in the lower part of your abdomen.


  • Flat stoma that is easy to hide
  • Self-sealing valve prevents leaks of waste or gas
  • Reservoir can be emptied painlessly
  • Complete control over elimination of waste
  • Reservoir can be emptied as little as three times per day


  • A catheter must be used to empty the reservoir

Choosing an Ostomy Option

If you need to schedule an ostomy procedure or if you have a failed ostomy and would like to discuss your options, contact The Center for Ileostomy Surgery today to schedule an appointment.