Hi Berket , I had this proposal, a 1) Direct connection . 2)Koch Pouch with a Valve in your belly . The Small Intestine is connected to the Valve. It empties with a Catheter . 3) The JPouch . This will work , generally , for a limited period ( just me ?) . Pouchitis is a Chronic Bacterial Infection and if you get it it spells the eventual end for the J-Pouch . I got a good 7 or 8 years of good times and another ten of varying pain and suffering ! The Jpouch is a risk but you might get lucky. The fear is that you end up with Short Bowel Syndrome which means Tube Feeding for life ! Because they have to use a part of the Small Intestine still there to create the J-Pouchlocated down behind your Pubic Bone . I had some very good years before it failed .
No matter what you will be wearingDiaper for a year at least . A Nephewin Chicago had the Direct hookup and he was pretty miserable for a long time ....liquid poop all the time, day and night for a year at least . . Haven't heard how it ended , I'll ask him how it progressed.
The Koch Pouch is a Very Specialized and is Patented so is Very expensive , insurance might not cover it . I went to a Specialist in Kings College London and he advised against the Koch Pouch. He wouldn't try to fix the J-Pouch once it starts to fail ...Huge risk of Short Bowel because of more Lost Small Intestine .
I got the Permanent Ileostomy and am now pain free and relatively happy in dealing with. These surgeries take years of your life and pain and suffering. Personally , after the J-Pouch experience I myself would not do the Direct connection. Your Small Intestine cannot absorb liquid like your Colon. You are depending on the Small Intestine to function as a Colon and hope it will absorb liquid and stop the liquid poop . If it does it will take a long time . The J-Pouch surgical technique .may haveimproved ...I'm not sure but it's probably the same procedure I had with little difference . It's a hard decision and they have good reason to Not want to do the J-Pouch .
Your only options would be the Direct Connection or Ileostomy . I'll ask my Nephew howhis Direct Connectionis working now and post it .
Hope I was of some help Magoo