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Doctor insights on: Will Surgery For Ulcerative Cloutis Solve The Problem

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Will surgery for ulcerative cloutis solve the problem?

Will surgery for ulcerative cloutis  solve the problem?

Possibly: There are many treatments available for ulcerative colitis (uc). The most aggressive is a partial or total colectomy (removal of part or the whole colon.) this may solve the problem if it is true colitis that one is dealing with. If, however, one actually has crohn's disease that involves the colon, then surgery may not be the answer. ...Read more

Dr. Scott Bolhack
2,077 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


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If have ulcerate colitis, should I use cyclosporine or inflekcimab or do surgery?

If have ulcerate colitis, should I use cyclosporine or inflekcimab or do surgery?

Surgery last resort: Optimal management of uc requires a good coop effort among your primary doctor, gastroenterologist and surgeon. Both immuno suppressant and biological as you mentioned have their roles in dz management. Though surgery can cure uc, it is usually the last option as it has it's own complication and will change your life forever. ...Read more

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Colon, infiltratng mod. Diff. Adenocarcna, ulceration, no lymphovasc. Invasn. Intestinal type enteric, distal sigmoid mass. Ok to delay surgery to feb?

Colon, infiltratng mod. Diff. Adenocarcna, ulceration, no lymphovasc. Invasn. Intestinal type enteric, distal sigmoid mass. Ok to delay surgery to feb?

Colon cancer: I would advocate having the procedure done as soon as technically possible waiting weeks is generally ok but not months , unless the delay is to undergo neoadjuvant therapy. ...Read more

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Pouch surgery in ulcerative coitis y doesn't it work on everybody?

Pouch surgery in ulcerative coitis y doesn't it work on everybody?

Indication 4 surgery: Pouch creation and successful performance in ulcerative colitis patients truly shows the "art" of medical/surgical care. If you have been told by your surgical team that you are not ready, or not a candidate for a pouch, then okay to ask more questions of that team. It is better to stay with an ileostomy than proceed too fast to a pouch. Many factors can derail your ultimate success. ...Read more

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Im 29 going for ulcerative colitis surgery and then having pouch surgery. Later in life what's the chances if geting pergnant.

Should not be: A problem unless you have some problem with your female organs. With a j pouch however most ob's would recommend a c section rather than risk damage to the j pouch with vaginal delivery. Discuss this with your OB and suggest they have a colorectal surgeon standing by for your delivery. Good luck on your future surgery and future family expansion. ...Read more

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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

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. ...Read more

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Why isn't pouch surgery in ulcerative colitis not suitable for some people?

Why isn't pouch surgery in ulcerative colitis not suitable for some people?

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 more

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If i under go ulcerative colitis surgery can I die and what's the percentage of a surgey to success.

If i under go ulcerative colitis surgery can I die and what's the percentage of a surgey to success.

Any surgery has risk: Chances are if you need uc surgery it is because of: poor response to medical therapy, acute decompensation, and/or risk for cancer. Normal kidney, lung, heart, liver function then the risks are well worth taking. If surgery is for rx of life-threatening problems, then you have little choice. Talk w/gi md, surgeon, at length. Get info from ccfa.Org (crohn's and colitis foundation of america). ...Read more

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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?

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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After ulcerative colitis jpouch surgery is it norm to get acute artheritis?

After ulcerative colitis jpouch surgery is it norm to get acute artheritis?

Arthritis : Acute arthritis after j pouch surgery for ulcerative colitis is seen in a small number of patients. Though not very common it is reported and can affect multiple joints or few joints. ...Read more

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Y cnt pouch surgery b suitable for al ulcerative colitis patients what's the main reasons?

Discuss surgery: For ulcerative colitis surgery options talk to a surgeon. Removal of the entire colon with colostomy is one option. This removes the colon but you have a colostomy. Reconstruction of a colon after the ulcerative colitis is why you want to spend time discussing all options and what to expect. For some patients you may expect to have 4-6 bm's daily after reconstruction. ...Read more

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Going for ulcerative colitis surgery and having a pouch surgery? Whats the chances of getting pergnant later in life?

Going for ulcerative colitis surgery and having a pouch surgery? Whats the chances of getting pergnant later in life?

Pretty good: In younger age group with pouch, getting pregnant is pretty good , long term results are also good with vaginal delivery or by c section. Speak to your doctor(s) , may be at a slightly high risk pregnancy for recurrence of disease. ( not very significant risk ) and need team of experts to carry through good luck. ...Read more

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

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

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. ...Read more

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What to do if I have surgery for non-healing gastric ulcers?

What to do if I have surgery for non-healing gastric ulcers?

Break-thru ulcers...: ...despite appropriate acid suppression warrant consideration for cause. Further testing is often pursued, followed by an extended treatment course, but ultimately non-healing gastric ulcerations require in many cases surgical intervention. ...Read more