This topic is about a type of ostomy surgery that involves placing a small "button" on the abdomen. Through this opening, a tube can be inserted to help empty the bowel. The person asking for information is curious about this procedure, which they compare to the MACE procedure, and is seeking more details from others who might have experience or knowledge about it.

Here are some insights and advice shared by others:

1. Koch Pouch (K-Pouch) Option
- This involves creating an internal reservoir with a stoma plug that allows for catheter insertion.
- Some potential complications include the formation of fistulas at the opening.
- A gastroenterologist at King’s College Hospital in London did not recommend this procedure to one member.
- More information can be found on the website "Ostomyland."

2. BCIR (Barnett Continent Intestinal Reservoir)
- It is suggested to visit BCIR.com for comprehensive details.
- A member shared that a friend who underwent BCIR surgery is very satisfied with the results and is open to sharing their experience through private messages.

3. General Guidance
- It is important to thoroughly research both the K-Pouch and BCIR options.
- Consulting with multiple surgeons who have experience with continent ileostomies is recommended before making a decision.
- Online resources like Ostomyland and BCIR.com provide patient stories and technical information that can be helpful in making an informed choice.