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What Are the Long-Term Outcomes of Ulcerative Colitis Surgery?

Ulcerative colitis surgery, particularly total proctocolectomy with Ileal pouch-anal anastomosis (IPAA), can provide long-term relief from the symptoms of ulcerative colitis and improve the quality of life for many patients. This surgery involves removing the colon and rectum and creating a pouch from the small intestine to restore bowel function. One of the most significant benefits is the elimination of colitis symptoms, such as abdominal pain, diarrhea, and bleeding, as the diseased colon is removed.

Long-term outcomes of this surgery generally include a reduction in the risk of colon cancer, which is higher in patients with long-standing ulcerative colitis. Most patients experience improved overall health and the ability to discontinue medications used to control colitis symptoms. However, some patients may experience complications, such as Pouchitis (inflammation of the newly created pouch), bowel obstructions, or changes in bowel habits. Regular follow-up with a healthcare provider is essential to monitor for these potential issues and maintain optimal health post-surgery.