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The Continent Ostomy Center

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 To learn more about the BCIR procedure, call (800) 677-5252, 
or e-mail at

The Continent Ostomy Center at Olympia Medical Center is proud to offer the BCIR procedure through the medical practice of Don J. Schiller, M.D., FACSDr. Schiller has continuously performed the BCIR for more than 18 years – that’s longer than any other ileostomy surgeon in the United States.

The BCIR or Barnett Continent Intestinal Reservoir is the "Freedom Option" for patients with problems with a conventional (Brooke) ileostomy, failed ileo-anal J pouches, or Kock pouches, or those with ulcerative colitis or familial polyposis. The Barnett Continent Intestinal Reservoir (BCIR) offers you control over your situation.

Dr. Schiller graduated from the Albert Einstein College of Medicine in The Bronx, New York, and did his post-graduate surgical training in the field of General Surgery at UCLA Center for the Health Sciences, Los Angeles, California.  He is a Fellow of the American College of Surgeons.  Dr. Schiller has been active in Medical Staff Leadership throughout his career.  His interest in the continent ileostomy spans more than 20 years, and he has always been committed to providing long-term, comprehensive care to his patients everywhere.

The BCIR procedure was pioneered by William O. Barnett, M.D., F.A.C.S., (deceased).  He founded the Continent Ileostomy Center and began to educate devoted, interested surgeons in his technique that significantly modified the Kock Pouch.  Dr. Schiller learned the procedure directly from Dr. Barnett in the late 1980’s.  He has operated on many patients with no prior surgery (combining total colon removal with the BCIR), as well as many patients with malfunction of their Brooke ileostomy, Kock pouch, or J pouch.

What is the BCIR?

The BCIR is an internal, self-sealing, waste-collection pouch attached to the wall of the abdomen, with a short segment of the intestine leading from the pouch to an external opening (called the stoma). The pouch itself is formed from about 2 feet of the patient’s intestine. A modification of the Kock pouch ileostomy, a key success factor of the BCIR is the “living collar.” This intestinal collar helps prevent slipping of the valve, a common problem with the Kock pouch.  The valve is made from the patient’s intestine.

Because there is no external appliance, the elliptical or button-hole sized stoma can be located lower on the abdominal wall. Only a small adhesive dressing to cover the stoma is necessary to prevent mucus leakage.  After healing, most patients find pouch-management easy and convenient, with drainage required usually two to five times per day.  A standard-size, inexpensive catheter allows emptying the BCIR directly into any toilet.

Lifestyle Improvements are Key

The BCIR brings with it two main, life-changing benefits: Freedom and comfort.  With no bulges to camouflage with clothing or constant worries about spillage or torn bags, the BCIR is a virtually “invisible” ileostomy.  As a result, patients’ lives are positively impacted in many areas including:

·Physical activity – BCIR patients can safely enjoy strenuous exercise such as jogging, swimming, golf, and weightlifting; the only limitations are the patient’s physical condition.

·Diet -- Within reason, patients can eat foods of their choosing without special dietary restrictions.

·Lifestyle -- Previously limited options in clothing and travel – even choice of occupations – are minimized, as compared to patients with conventional ileostomy appliances.

·Psychological – With worry and self-consciousness reduced, many patients express feelings of happiness, relief and greater fulfillment in personal and intimate relationships.

For more information about the BCIR procedure, including frequently asked questions:

Ostomy coordinator call Tillie Huber at 1-323-932-5448
or e-mail at

Here are a few web-sites that we recommend:

Quality Life Association

The J-Pouch Group

 Crohn's & Colitis Foundation of America

 IBP Sucks!

 International Ostomy Association

 United Ostomy Associations of America

 Austin Medical Products

 Ileostomy & Internal Pouch Support Group

 The Continent Ostomy Store

Olympia Medical Center is a physician owned 204-bed acute care medical/surgical facility, providing award-winning inpatient and outpatient diagnostic, medical and surgical services to our communities.