Ulcerative Colitis Surgery

Proctocolectomy With Standard Ileostomy
The most common variation of ulcerative colitis surgery is called a "proctocolectomy with standard ileostomy." After the entire large intestine and rectum are removed, the end of the small intestine (ileum) is moved to the lower abdominal wall, where a hole, called a "stoma," is made. The stoma is usually located around your belt line, and is often about the size of a quarter. A pouch is placed over the stoma to collect the waste products that come out of the small intestine after food is digested. You change this pouch regularly to get rid of the waste.
Ileoanal Anastomosis
A second surgical option for ulcerative colitis is called an "ileoanal anastomosis," also known as a "pull-through procedure." With this procedure, there is no need for a pouch inside or outside the body. This is now the most common procedure performed in people with ulcerative colitis.
The colon and rectum are still removed, but the outer muscles of the rectum are left intact. The small intestine is then connected to these rectal muscles. After this procedure, waste can leave the body as usual, but you may find that it's more watery and that you need to go to the bathroom more frequently.
This procedure is done with two surgeries. At the end of the first surgery, a temporary ileostomy is performed because the small intestine needs time to heal. After 10 to 12 weeks, a second surgery is performed to close the temporary ileostomy. Inflammation of the pouch (pouchitis) is a possible complication.
Proctocolectomy With Continent Ileostomy
An alternative to a proctocolectomy with standard ileostomy is a "proctocolectomy with continent ileostomy." In this variation, after the colon and rectum are removed, the end of the small intestine is made into a pouch that remains INSIDE your body. Waste is emptied from this pouch by inserting a small tube through a leak-proof valve placed in your abdomen.

Information on Ulcerative Colitis

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