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Ulcerative Colitis Surgeons
I have ulcerative colitis and medication isn't working. Is there anything else I can do to feel better?
See a surgeon: If you are not responding to medication you may want to consider seeing a colorectal surgeon to discuss colectomy. Removal of the colon is curative in ulcerative colitis. It is however major surgery, and should be discussed at length with an experienced colorectal surgeon. ...Read moreSee 2 more doctor answers
Ulcerative colitis (ul-sur-uh-tiv koe-lie-tis) is an inflammatory bowel disease (ibd) that causes long-lasting inflammation in part of your digestive tract. Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum.There's no known cure for ulcerative colitis, but therapies are available that may dramatically reduce the signs ...Read more
Medications surgery: The mainstay of treatment is medical, however a small proportion of very sick patients end up needing a colectomy (removal of the colon). Medication regimen inlcudes a Mesalamine product (such as asacol), immunosuppresants (6mp, immuran), biologic agents (remicade, humira). Prednisone is used as little as possible and only to control acute flares. ...Read moreSee 1 more doctor answer
Not True: Not necessarily true as ulcerative colitis can have a wide range of presentations and responses to medical management. The disease may only involve the rectum(proctitis) and be managed with topical medication to full colonic involvement requiring systemic treatment to control symptoms with medications as per a gastroenterologist. Surgery, if necessary is best managed by a colorectal surgeon. ...Read moreSee 1 more doctor answer
Colitis: These two forms of GI disease can sometimes have overlap but also have many areas that they are different. Best to discuss with your GI md and or surgeon to help differentiate and sometimes a repeat colonoscopy or upper endoscopy may be needed along with other test to establish a firm diagnosis. ...Read moreSee 1 more doctor answer
What type of pouch: Are you asking about? J-pouch for the replacement of the rectum results in 6-10 bowel movements a day. Not appropriate for crohn's disease, elderly, damaged anal sphincter, etc. Other pouch is koch pouch replacement at an ileostomy site. Requires significant care and daily insertion of a catheter. Both require specially trained surgeons. ...Read moreSee 1 more doctor answer
In ulcerative colitis what percentage of patients the pouch fails to function properly and may have to be removed?
When going for a pouch surgery with ulcerative colitis what's the percentage of the pouch not failing and for it to work at the end of al surgeries?
Depends on team: A pouch also called ileorectal "J" pouch. Goal is to have your rectum working, no UC issues, and to connect the ileum to the rectum. This is usually staged; have ileostomy for a time, get UC under control after subtotal colon removal and then when in good health go for the pouch. Benefit of pouch, NO BAG and able to use restroom close to normal. Seek colorectal surgeon at big center/University. ...Read more
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