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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?

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
1,985 doctors shared insights

Ulcer (Definition)

Ulcer is the medical term for erosion of a normal barrier (the lining on top) exposing the surface that is normally beneath this barrier. Ulcers can occurs at sites like the skin, the ...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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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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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