Some patients require ileostomy or colostomy after this procedure as alternative means of excretion. When surgery is required the recommended procedure is a subtotal colectomy with end ileostomy. This procedure requires a temporary loop ileostomy to allow the anastomosis to heal. After a bad flare of ulcerative colitis, she underwent ileostomy in January 2018. An alternative to an ileo-anal pouch is an ileostomy. He originated the skin-grafted ileostomy in the treatment of ulcerative colitis. His ileostomy was eventually reversed in a Kock pouch procedure. Dr. Nils Kock developed the first intra-abdominal continent ileostomy in 1969. An ileostomy may also be necessary in the treatment of colorectal cancer or ovarian cancer. For instance, if only the large colon is affected, an ileostomy may be helpful. An ileostomy will collect feces in a bag. Often, a temporary ileostomy is necessary to protect the stitches. The patient is given a temporary defunctioning ileostomy (also known as a "loop ileostomy"). It is also useful for reducing ileostomy output. The Jpouch was developed as an alternative to the ileostomy.