IPAA and continent ileostomy - Kock pouch and modifications

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 two different variants of a continent ileostomy. 

We cordially 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! Since management of these very special patients can only be successful if we cooperate closely amongst us, we would be delighted to intiate and structure patient care across Europe with you. It is envisaged, that continent ileostomies will have a revival, after surgical modifications have led to a much better outcome and quality of life for patients with a well-functioning continent ileostomy is excellent.

On the first day of the workshop, we will address the relevant aspects of ileoanal and continent pouches, including evolution, indications for conversion and management. Patients with pouches will frequently have received a protective ileostomy, some of which are never reversed for different reasons. Other patients have a pouch failure and might be good candidates for a continent ileostomy. Management of a continent ileostomies may pose smaller and bigger problems in the further course, that would enormously benefit from your expertise.

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Johnson Johnson Institute entrance

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

Johnson Johnson Institute

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



Selection - Course

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.

Course 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 (14 November 2019) - 2019 PROGRAMME AND FACULTY TO BE FINALISED

10.00 Welcome - Tom Øresland and Gabriela Möslein
10:30 - 11:30

Session I - Evolution and History

  • The ileoanal pouch(IPAA) – Mattias Block
  • The continent ileostomy (K-pouch) – Tom Øresland
  • The continent ileostomy (S-pouch) – Karl-Wilhelm Ecker
11:30 - 12:30

Session II - Contraindication and Failure

  • The ileoanal pouch (IPAA) including management of desmoid disease – Gabriela Möslein
  • The continent ileostomy (K-pouch) – Mattias Block, Tom Øresland
  • The continent ileostomy (S-pouch) – Karl-Wilhelm Ecker
12:30 - 13:15 Lunch
13:15 - 14:30

Session III - Step-by-Step (Video session)

  • The ileoanal pouch(IPAA) – Gabriela Möslein, Tom Øresland
  • The continent ileostomy (K-pouch) – Mattias Block
  • The continent ileostomy (S-pouch) – Karl-Wilhelm Ecker
14:30 - 15:00

Session IV - Indications, differences between colitis, Crohn's disease and FAP/Lynch syndrome, causes of failure

  • Is an IPAA 'allowed' for Crohn's disease? – Mattias Block
  • Is a continent ileostomy 'allowed' for Crohn's disease? – Karl-Wilhelm Ecker, Tom Øresland
15:00 - 15.30 Coffee break
15:30 – 17:00

Session V - Panel evidence-based debate with short preceding snapshot presentations

  • Is a primary continent ileostomy indicated in patients requiring proctocolectomy? - Tom Øresland
  • Is a diversion mandatory in inflammatory bowel disease patients? - Karl-Wilhelm Ecker
  • Is a diversion mandatory in FAP/Lynch patients? - Gabriela Möslein
  • Postoperative management from day 1-14 - Mattias Block
  • Postoperative management after day 14 - Eva Carlsson
17:00 – 18:30

Session VI - Postoperative care, long-term outcome and quality of life

  • Real life with a continent ileostomie: 30 + years of personal experience - Julie Klippgen
  • Can we deal with acute slippage? Role of stoma therapy: when, how, where - Eva Carlsson
  • Initiative for a European network for continent ileostomy patients - Werner Droste
  • Confession closing round: What I should not have done! - Karl-Wilhelm Ecker, Tom Øresland, Gabriela Möslein, Mattias Block
18:30 Adjourn to hotel
19:30 Course dinner at Radisson Blu Hamburg Airport

Day 2 (15 November 2019)

09:00 Welcome and reflection
09:30 – 12:30

Break Sessions – case examples (FAP, UC, Crohn's disease, other indications) and outcome

Training with animal model:

  • IPAA
  • K-Pouch
  • S-Pouch
  • Reversals backwards and forwards
12:30 - 13:15 Lunch break
13:15 - 15:30

Break Sessions continued

15:30 Final questions and discussion
16:00 Adjourn


  • Gabriela Möslein (Germany)
  • Tom Øresland (Norway)
  • Karl-Wilhelm Ecker (Germany)
  • Mattias Block (Sweden)
  • Eva Carlsson (Sweden)
  • Werner Droste (Germany)
  • Julie Klippgen (Germany)


The workshop costs are:

  • 14 November - Theory: €300.00
  • 14 November - Theory: €100.00 (Stomatherapists)
  • 14 November - Theory: €175.00 (Y-ESCP members)
  • 15 November - Hands-on (porcine model): €750.00
  • 15 November - Hands-on (porcine model): €375.00 (Y-ESCP members)
  • Full 2-day workshop: €1000.00
  • Full 2-day workshop: €500.00 (Y-ESCP members)
  • Course dinner at TBC (14 November): TBC

Excluding travel and accommodation for the two-day course in Hamburg


Application Process:

Selection will be by online application, click here to submit your application.


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