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A 47-year-old member asked:

Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

3 doctor answers11 doctors weighed in
Dr. Mark Hoepfner
General Surgery 39 years experience
Yes: This type of surgery which includes removal of all the colon and then an ileo-rectal pouch anastomosi is used for complicated ulcerative colitis, with complications that can be bleeding, transformation to pre-cancerous changes, or pain and fevers with failure of medications. It can be a very successful surgery with very good results, as long as the surgery is performed by a specialist in this.
Dr. David Stein
Colon and Rectal Surgery 24 years experience
Rarely.....: The standard surgery for ulcerative colitis is removal of the entire colon and rectum. When one has disease that does not respond to medical therapy the rectum is usually involved, so leaving it behind will not help improve symptoms and adds cancer risk. If one is having the surgery for cancer or precancer there are cells with dysplasia in the colon and rectum - so it should be removed.
Dr. Jarrod Kaufman
General Surgery 29 years experience
Ulcerative colitis: There are a few options that can be discussed with your surgeon, in this type the Goal is to leave your rectum in place while removing the entirety of your colon. also can have pouches formed to increase the area of the neo-rectum created

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A 37-year-old member asked:

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

1 doctor answer3 doctors weighed in
Dr. Eric Kaplan
Colon and Rectal Surgery 42 years experience
This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy.

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Last updated Apr 7, 2019
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