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Ulcerative Colitis

What is Ulcerative Colitis

Ulcerative colitis is inflammatory condition of large bowel which starts from the rectum amd involves in a retrograde fashion the proximal large bowel. Rarely it involves the small bowel. The most common symptom is diarrhoea. The cause of ulcerative colitis is unknown. It has been postulated that it may be caused by interaction between patient genetic susceptibility and the environment. The course of the disease is characterized by period of exacerbation of symptoms and remission. The remission of symptoms may be spontaneous or may be due to medicine. Because of trasmural nature of disease it may lead to complications like abscess formation, fistula to orther organs and bowel stenosis. Long term ulcerative colitis is risk factor for bowel cancer. It is managed initally by Gastroenterologist
Ulcerative ColitisIndications for Surgery in Ulcerative Colitis

  • Emergency Indications

Hemorrhage
Perforation
Toxic Megacolon
Fulminant disease activity not responsive to maximal medical therapy

  • Elective Indications

Complications of Medical therapy for ulcerative colitis
Frequent remission despite maximal medical therapy
Cancer/Intestinal Dysplasia
Growth retardation in children

Surgery for Ulcerative Colitis

  • Emergency surgery

Total abdominal colectomy with Hartman procedure or mucus fistula and end ileostomy is done

  • Elective Surgery

It can be done in one stage or two stage. Surgery done is total procto-colectomy in which whole of large bowel and rectum are removed. After that a pouch is created from distal part of ileum and this pouch is anastomosed to anal canal. The whole procedure is called as total procto-colectomy with ileo-anal pouch anastomeses.This can be done as a single time surgery. In high risk patients who are on steroids a diverting loop ileostomy is also created. In these patients ileostomy is closed after 4 weeks

Consult Dr Amit Jain Best Laparoscopic Surgeon in Noida Delhi Ghaziabad NCR for ColoRectal Surgery. Call us at 7351088686 for any query related to management of inflammatory bowel disease

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