This website is dedicated to people who must undergo removal of their colon (large intestine), and to the people who have already gone through a surgical procedure but who have an unsatisfactory outcome, one that is unable to restore them to full and normal functioning and quality of life.  You will find information about all of the surgical options that deal with evacuation of intestinal waste after total colectomy (removal of the colon).  These include the IPAA procedure (Ileal Pouch Anal Anastomosis -- also known as the ileoanal pouch, the pull-through, and the J pouch), the Brooke ileostomy, and the Continent ileostomy.  You will see details  of the BCIR or Barnett Continent Intestinal Reservoir, a technique of continent ileostomy that evolved from the Kock Pouch.  The BCIR is an ileostomy that does not involve wearing an appliance or bag.  All aspects of the operation are reviewed, including post-operative care and follow-up, nutrition, return to normal activities, as well as the experiences of many patients