5 doctors weighed in:

How should I decide when it is time to have continent ileostomy, especially if colitis is controlled?

5 doctors weighed in
Dr. Sidney Vinson
Internal Medicine - Gastroenterology
2 doctors agree

In brief: Based on symptoms

If your disease is controlled on medications then surgery may never be necessary.
In most cases surgery is not ever needed.

In brief: Based on symptoms

If your disease is controlled on medications then surgery may never be necessary.
In most cases surgery is not ever needed.
Dr. Sidney Vinson
Dr. Sidney Vinson
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Dr. Eric Kaplan
Surgery - Colorectal
1 doctor agrees

In brief: If controlled

No need to consider any surgery unless high dose steroids are needed or meds fail or you have evidence of dysplasia increasing the risk of colon cancer.
Then I do not support continent ileostomy, as better results are obtained with j pouch or permanent ileostomy. Failed or unsatisfactory cont ileo would cause a loss of significant small bowel to convert with resulting poor absorption/nutrition.

In brief: If controlled

No need to consider any surgery unless high dose steroids are needed or meds fail or you have evidence of dysplasia increasing the risk of colon cancer.
Then I do not support continent ileostomy, as better results are obtained with j pouch or permanent ileostomy. Failed or unsatisfactory cont ileo would cause a loss of significant small bowel to convert with resulting poor absorption/nutrition.
Dr. Eric Kaplan
Dr. Eric Kaplan
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