Continent Ostomy Center (BCIR)
The BCIR or Barnett Continent Intestinal Reservoir is the Freedom and Control Option for patients with problems with a conventional (Brooke) ileostomy, failed ileoanal J pouch or Kock pouch, or those with ulcerative colitis or familial polyposis. The Barnett Continent Intestinal Reservoir (BCIR) oﬀers you control over evacuation and freedom from wearing an external appliance.
The Continent Ostomy Center at Olympia Medical Center is proud to oﬀer the BCIR procedure through the surgical practice of Don J. Schiller, M.D., FACS. Dr. Schiller has continuously performed the BCIR for more than 25 years – that’s longer than any other ileostomy surgeon in the United States. Dr. Schiller has recently been joined by a talented young surgeon Dr. Pouya (P.J.) Benyamini who will be a vital part of the Center. Dr. Benyamini did his Surgical Training at the University of California, Irvine and the University of Hawaii. He will be able to provide surgery and follow-up care in the same personalized manner that is a hallmark of Dr. Schiller’s philosophy of patient care, especially with BCIR and Kock Pouch patients.
Dr. Schiller graduated from the Albert Einstein College of Medicine in The Bronx, New York, and did his postgraduate surgical training in the ﬁeld of General Surgery at UCLA Center for the Health Sciences, Los Angeles, California. He has been a Fellow of the American College of Surgeons his entire career. Dr. Schiller has been active in education and Medical Staﬀ Leadership. His interest in the continent ileostomy spans more than 25 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.
The BCIR brings with it two main, life-changing beneﬁts: Freedom and control. There is freedom from wearing any external appliance, and control over evacuation of waste. A conventional ileostomy ﬂows continuously and requires wearing an external appliance all of the time. There can be leaks, skin irritation, and the need to alter clothing. The Barnett continent ileostomy does not require an external appliance. Instead, several times a day the patient will painlessly insert a tube through the stoma opening evacuating the pouch contents into the toilet receptacle. Each patient can determine when and how often to evacuate.