What Ulcerative Colitis Surgery Involves

A surgeon normally removes your colon (also called your large intestine) and rectum. Next he’ll attach the lowest part of your small intestine to a hole he makes in your torso to let waste leave your body and empty into an outer container. Another procedure creates an internal waste pouch that allows stool to be passed through the anus.

When Is Ulcerative Colitis Surgery Needed?

Your doctor may advise Ulcerative Colitis Surgery if you can’t manage inflammation and ulcers (right) with medication for Ulcerative Colitis  or other treatments. You may also want an operation if you get emergency complications of ulcerative colitis such as severe bleeding or tears in the colon. Some people choose to have surgery if their symptoms change their ability to work and stay active.

Surgery to Cure UC, Cut Colon Cancer Risk

The only way to cure for ulcerative colitis is to get surgery to remove the diseased colon and rectum. You may also choose an operation if you want to cut your risk of colon cancer. Your chances of receiving colon cancer go up if you have ulcerative colitis for 8 years or more or have a lot of colon injure. Your doctor may also suggest Ulcerative Colitis Surgery if he finds abnormal increase (shown in yellow in the image) during a checkup.

Ileal Pouch Anal Anastomosis: No Bags or Valves

The most common process for ulcerative colitis is pelvic pouch or ileal pouch anal anastomosis (IPAA). Your surgeon take out your colon and rectum and fashions a new rectum, called a J-pouch, out of your small intestine. This type of ulcerative colitis surgery allows you to have bowel movements and use the bathroom. You won’t require an ostomy bag. The method take of  two separate surgeries about 2 months apart.

Proctocolectomy: Removal of Colon and Rectum

In this operation, also called a permanent or Brooke Ileostomy, your surgeon remove from the colon and rectum and closes off the anus. He then makes a opening in your stomach, called a stoma. After ulcerative colitis surgery, waste will shift from your small intestine, out the stoma, and into a plastic ostomy bag. While wearing a bag you’ll still be capable to work, be intimate, and play sports.

Caring for an Ostomy Bag

If you need this bag after your ulcerative colitis surgery you’ll get advice from your medical team about how to care for it and the stoma. You can empty or fling out the bags when you need to. Irrigating the stoma can help you manage the timing of bag change. To prevent leaks, the pouch structure that connects the stoma to the bag requirements to be changed every 4 to 7 days. Call your doctor if you notice a change in color, bleeding, or swelling.

Seek a Second Opinion

If your doctor recommends surgery to treat for ulcerative colitis, it’s OK to get the advice of another doctor. A good first step is to seek ulcerative colitis treatment at a hospital that has experience in handling digestive disorders. Ask your doctor about:

  • ulcerative colitis treatment options
  • What the procedure involves
  • Risks, recovery, success rates
  • Life after your surgery


Ulcerative Colitis Surgery Risks, Complications

If you have any of these symptoms of ulcerative colitis, get medical help right away:

  • Infection or pouch inflammation (pouchitis).Signs: Diarrhea, frequent bowel movements, stomach cramps and pain, fever, joint pain. ulcerative colitis treatment: Antibiotics.
  • Blockage or bowel obstruction.Signs: Cramping, nausea, vomiting. ulcerative colitis treatment: IV fluids and fasting, sometimes surgery.
  • Pouch failure.Signs: Fever, swelling, pain. ulcerative colitis treatment: Surgery and permanent ileostomy.

Scheduled and Emergency UC Surgery

Most UC surgery can be arranged at time that’s convenient for you. Try scheduling it while your symptoms are calm to cut the chances of complications.

The risks are advanced when you have emergency surgery. You may need it if you get toxic megacolon — a life-frightening situation when your colon quickly swells and gas and bacteria build up inside. Get ulcerative colitis treatment medical help right away if you have fever, belly pain, constipation, or swelling.source



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