We are delighted to announce the third IPAA and Continent Ileostomy hands-on workshop (Kock Pouch and Modifications). The course will take place at the Johnson & Johnson Institute in Hamburg, Germany on 16 and 17 November 2023.

Apply for The Kock Pouch Workshop here

The Pouch workshop is a training initiative by ESCP's European School of Coloproctology to promote theoretical background knowledge and practical experience on the ileoanal pouch procedure and four different variants of a continent ileostomy.

We cordially invite experienced coloproctologists with a special interest in IBD and hereditary disposition to GI cancer to attend. Clearly, whilst an ideal ileoanal pouch may last for a lifetime, unfortunately in a substantial number of patients pouch failure is an issue. We will discuss controversial aspects of fashioning an ileoanal pouch and this year are very happy to extend our faculty, addressing the fourth design for CI: the BCIR (Barnett Pouch). In the last course ahead of the pandemic, we discussed and practiced 3 different types of continent ileostomies (K-Pouch, S-Pouch and T-Pouch). Since continent ileostomies offer excellent function and are experiencing a deserved revival we look forward to hosting this third workshop, after a very successful initiation of the workshop in 2018 and 2019.

Management of these very special patients can only be successful if we cooperate closely with stomatherapists and nurses and we will continue to endorse and pursue structured patient care across Europe, together with the relevant associations representing these. We encourage building a tandem structure, so that combined applications of surgeons together with stoma therapists are strongly encouraged.

Therefore we invite stomatherapists, nurses and other interested parties to join the first (theoretical) day of the workshop at a very reduced rate, we would love to see you there!

Another novum this year is that we are putting effort into enabling and enhancing global patient networking. Stay tuned to find out more!

On the first day of the workshop, we will address the relevant history and theoretical aspects of ileoanal and continent pouches, including evolution, indications for conversion, practical aspects of how they are individually fashioned and management. Pros and cons of each are theoretical and lack underlying evidence. For this purpose, we are initiating the global CI registry.

On Day 2 participants will split up and the surgeons will have the opportunity to fashion a laparoscopic ileoanal pouch and then transform this to a continent ileostomy under preservation of the reservoir to multiple versions of a continent ileostomy (K-S- B and T-pouch). This will happen in the excellent porcine model. Stomatherapists, nurses and patients are invited join the important discussions around management of patients with continent ileostomies and discuss challenges but also the building of a European (virtual) service to assist patients requiring (emergency) support. During this time, there will be a live transmission from the OR and the opportunity to observe the pouch fashioning with interactive opportunities. 

This workshop has been made possible due to the generous support of Johnson & Johnson.

We would like to acknowledge Frankenman for the support of a required, specific medical device.


This highly interactive expert 2-day workshop is designed to teach and discuss both the ileoanal pouch (IPAA) and continent ileostomy.


Surgeons interested to participate in the programme will be selected according to selection criteria (see below).

Additionally we most cordially welcome stomatherapists interested in ileostomas, virtual (ghost) ileostomies and continent ileostomies to join the first theoretical day on Thursday at a very reduced price.

Successful candidates will be invited to a 2-day hands-on course at the European Surgical Institute in Hamburg, Germany.

Selection criteria

  • Appropriate experience but not mandatory to have experience with ileoanal pouches.
    • Describe your level of experience with ileoanal pouch surgery (how many procedures performed)
    • Describe if you have any experience with continent ileostomies


  • Two-day course in Hamburg
  • Hands-on operative training on animal models

Course structure

Venue: Johnson & Johnson Institute, Hummelsbütteler Steindamm 71, 22851 Norderstedt, Germany

Day 1 (16 November 2023) 

09:00 - 09:15 Registration and coffee
09:15 - 09:20 Welcome - Gabriela Möslein
09:20 - 11:15

Session I - Ileoanal Pouch (with videos)

  • Evolution and History - Karl-Wilhelm Ecker
  • How I do it (shape and size of reservoir: pro K-pouch) - Jonas Bengtsson
  • How I do it (shape and size of reservoir: pro J-pouch) - Sherief Shawki
  • How I do it (optimal lengthening of mesentery - ICG) - Andreas Kaiserk
  • How I do it (TTSS and virtual ileostomy) - Gabriela Möslein
  • Q&A
11:15 - 11:30 Coffee break
11:30 - 13:10

Session II - Continent Ileostomies (with videos)

  • The continent ileostomy (K-pouch) - Jonas Bengtsson
  • The continent ileostomy (S-pouch) - Karl-Wilhelm Ecker/Gabriela Möslein
  • The continent ileostomy (B-Pouch) - Sherief Shawki
  • The continent ileostomy (T-pouch) - Andreas Kaiser
  • The BCIR Experience over time - Don Schiller
13:10 - 14:00 Lunch break
14:00 - 16:00

Session III - Special indications and failures

  • Conversion of ileoanal pouch to a continent ileostomy: S (Ecker), -K (Block), -T (Kaiser), -B (Schiller) followed by discussion
  • Pouches, FAP and desmoids - Gabriela Möslein
  • Slippage, short valves in K- and S-pouches - Karl-Wilhelm Ecker
  • Incontinence/complications in BCIR pouches
  • Incontinence/complications in T-pouches - Andreas Kaiser
  • Sepsis, fistula, pouchitis, stricture, pre pouch problems, second pouches - Sherief Shawki
  • Discussion
16:00 - 16:15 Coffee break
16:15 - 17:45

Session IV - Postoperative care: patients and stomatherapists perspective

  • Postoperative management from day 1-14 and beyond - Eva Carlsson
  • Real life with a continent Ileostomy: 30+ years of personal experience with Q&A - Patient rep
  • How can we deal locally with acute/emergency problems? Situation in Europe and USA - Ilco
  • The patient’s view: what must be improved? - Patient rep
  • Initiative for a global network for continent ileostomy patients - All
17:45 Adjourn to hotel

Day 2 (17 November 2023)

Hands-on Training Course for Surgeons in the OR

09:00 - 09:20 Welcome
09:20 - 10:00 General Discussion and Reflection on Day 1
10:00 - 10:30

Introduction: Animal Lab including anatomy

10:30 - 13:00

Surgeries with faculty

Procedures (simultaneous teaching with videos):

  1. Laparoscopic ileoanal pouch
  2. Fashioning of the different pouch designs with faculty: K-, S-Pouch
13:00 - 13:30 Lunch break
13:30 - 15:30
  1. Conversion ileoanal J-pouch to S-Kock-Pouch
  2. Valve renewal
  3. Construction of a T-Pouch
  4. Construction of a B-Pouch
  5. Interposition of a jejunal pouch
15:30 - 16:00 Final questions and answers
16:00 Adjourn

In parallel on Friday: Patients and Stoma Therapists, nurses reunion

09:00 - 10:00 Welcome and reflection (All)
10:00 - 11:15

Session I - Pre-post and discharge planning and follow-up of patients with a continent ileostomy surgery

  • Overview of the program
  • Preoperative counseling including stomasiting
  • Postperative care of the continent ileostomy, quality assurance , discussion from Day I, bandaging technique practical examples
  • Discharge planning and education
  • Continent Ileostomy
11:15 - 11:30 Coffee Break
11:30 - 14:00

Session II – Live Surgery with faculty

  1. Conversion ileoanal pouch to Kock-pouch
12:30 - 13:00 Lunch
13:00 - 14:00
  1. Conversion S-Kock-Pouch to secondary ileoanal pouch
14:00 - 15:30

Session III Complications - Action and treatment

  • High-output with a continent ileostomy: What to do and why
  • Leakage and peristomal skin problems with a continent ileostomy: What do we do and what appliances can we use?
  • Intubation difficulties with a continent ileostomy (slippage of the nipple valve, stenosis, nipple prolapse): What to do as stoma care nurses; Other complications
  • How do we work together in Europe with a network for patients with a continent ileostomy - discussion
15:30 - 16:00 Final questions and answers
16:00 Adjourn


  • Karl-Wilhelm Ecker (Germany)
  • Andreas Kaiser (USA)
  • Sherief Shawki (USA)
  • Don Schiller (USA)
  • Jonas Bengtsson (Sweden)
  • Gabriela Möslein (Germany)
  • Stoma nurse representation
  • Ilco Germany, Patient Support group(s)
  • Eva Carlsson, Stoma nurse representation
  • Patient representation


The workshop costs are: €2000

Costs exclude travel and accommodation for the two-day course in Hamburg.

ESCP recommend you book your accommodation at the Steigenberger Hotel, Treudelberg, Hamburg, there are hotels around the J&J Institute that we recommend you use, if you have any questions regarding accommodation, please contact Rosemary Parker at the This email address is being protected from spambots. You need JavaScript enabled to view it.

Application process

Selection criteria

  • Appropriate experience but not mandatory to have experience with ileoanal pouches.
    • Describe your level of experience with ileoanal pouch surgery (how many procedures performed)
    • Describe if you have any experience with continent ileostomies

This will involve submission of the following:

  • CV

There are 18 spaces available on this course.

Any questions please send to the This email address is being protected from spambots. You need JavaScript enabled to view it.for the attention of Vanessa McCourt and Rosemary Parker. Once your registration has been approved by the Course Director, you will then be able to pay the course fee to secure your place.

Apply for The Pouch Workshop here

Selection will be by online application

ESCP Affiliates