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the appliance free option

Barnett Continent

Intestinal Reservoir Program

The Barnett Continent Intestinal Reservoir (BCIR) is an appliance Free intra-abdominal ileostomy. The BCIR was modified from the Kock pouch by Dr. William O. Barnett. The BCIR is a surgically-created pouch, or reservoir, on the inside of the abdomen, made from the last part of the small intestine, and is used to store intestinal waste.

The Barnett Continent Intestinal Reservoir (BCIR)

An Appliance-Free Intra-Abdominal Ileostomy

Candidates for the procedure are:

  • Patients who have problems associated with the conventional (Brooke) ileostomy.
  • Patients who have failed continent (Kock) pouch, failed Ileal Pouch Anal Anastomosis (IPAA), J-Pouch, Pull-through or other similar procedures.
  • Individuals who have Familial Polyposis (FP), a case of medically unresponsive Ulcerative Colitis, poor anal sphincter control or other conditions precluding their being candidates for the J-Pouch, or those who elect not to have the J-Pouch.


Look around our Web Site and learn more about the BCIR procedure. You can read about the history of the BCIR, how it works, our facility, clinical studies and real life stories written by some of our alumni.


Drop by the first Tuesday of each month at 8 pm, ET and participate in our live chat session. This is an opportunity for individuals researching their options to ask questions of health care professionals as well as our patients. Also visit our message board, which is open 24 hours a day, 7 days a week.



Hope to see you at one of our seminars:

Sunday, October 25 - Chattanooga, TN
Sunday, November 8 - Jacksonville, FL

If you are unable to attend a session, please enjoy the following video which features much of the same information.

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