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    Ulcerative Colitis: When Surgery Is Needed

    Ulcerative Colitis: When Surgery Is Needed

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    Topic Overview

    Surgery is likely to be needed for ulcerative colitis for the following reasons.

    • Medicines and nutritional therapy have failed to manage severe symptoms.
    • Toxic megacolon does not respond to medical treatment within 4 days (or sooner in some cases).
    • Holes form in the large intestine. (This is called perforation.)
    • You have colon cancer or a significantly increased risk of cancer. (This risk is found by biopsies .) Or you have a narrowing in the intestine that can't be told apart from cancer. You may need surgery even if you don't have symptoms of active disease.
    • Severe, disabling complications occur outside the colon. But many complications do not respond to surgery.
    • You have severe bleeding that requires ongoing blood transfusions.
    • Slow growth or other serious complications occur in children.

    People may choose to have surgery to improve their quality of life, cure ulcerative colitis, or prevent colon cancer.

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    ByHealthwise Staff
    Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
    Specialist Medical Reviewer Peter J. Kahrilas, MD - Gastroenterology

    Current as ofNovember 14, 2014

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