Construction of the BCIR involves taking down a pre-existing ileostomy or removing the colon and rectum if this has not been previously done. The pouch itself is formed from about two feet of the patientís intestine including the valve and collar, which are also made of intestinal tissue.

A sensation of fullness will occur when the pouch is ready to be drained. This sensation is not an urgent one and many patients report draining their pouch three to five times a day. The pouch is drained by inserting a catheter through a button hole shaped opening stoma located just above the pubic area.

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