If you have tried other treatments for UC (ulcerative colitis) and they have not been effective, ulcerative colitis surgery might be the recommended solution. You may also opt for surgery if you want to eliminate your risk of colorectal cancer and avoid further complications. At the Colorectal Division of North Carolina Surgery at UNC REX in Raleigh, ulcerative colitis surgery is performed by our highly experienced colorectal surgeons.
What is Ulcerative Colitis?
Ulcerative colitis is a chronic inflammatory bowel disease (IBD) that causes inflammation and ulcers in the lining of the colon and rectum. This condition can lead to severe digestive issues and significantly impact daily life.
Common symptoms include:
- Persistent diarrhea with blood or pus
- Abdominal pain and cramping
- Fatigue
- Urgency to have a bowel movement
- Unintended weight loss
- Fever
What Causes Ulcerative Colitis?
While the exact cause of ulcerative colitis remains unknown, one leading theory is that it results from an abnormal immune system response. Instead of protecting the body from harmful bacteria or viruses, the immune system mistakenly attacks the lining of the large intestine, leading to chronic inflammation and tissue damage.
Genetics and environmental factors could also play a significant role. You are more likely to develop UC if you have a close relative with the disease, suggesting a hereditary link that interacts with external triggers to spark the onset of symptoms.
How Do I Know If Surgery Is Right For Me?
Deciding if UC surgery is the correct course of action depends on several factors, including the severity of your symptoms, how well your body responds to medications, and the presence of complications such as severe inflammation, colorectal cancer, or bowel perforation. Surgery is typically considered when non-invasive treatments no longer control symptoms effectively or when complications pose significant health risks.
Surgical Options for Ulcerative Colitis in Raleigh, NC
Surgery for ulcerative colitis involves removing the diseased tissue in your digestive tract. The two main surgical procedures for UC are:
Proctocolectomy With Ileal J-Pouch Creation
This procedure is the most commonly recommended elective surgery for the treatment of UC. Doctors begin with a proctocolectomy to remove the colon and rectum. They then replace those organs with a J-pouch, which is created from your small bowel and made to function similarly to a rectum for bowel elimination.
Your surgeon may recommend a one-, two-, or three-stage procedure, each allowing your body a different amount of time to heal between removing your diseased organs and replacing them with the J-pouch. Your surgeon will discuss the approach that is best for you, taking into account your specific health factors.
Proctocolectomy or Colectomy with End Ileostomy
In this procedure, your surgeon removes the diseased colon and/or rectum. Afterward, they will create an ileostomy, which connects to an ostomy pouch to collect waste outside your body. Your specialist might recommend this procedure if you have other severe conditions that can put you at high risk for further complications.
Living with an ostomy bag can take some getting used to. The team at UNC REX will provide the support and resources you need to get back to living your best life.
After Ulcerative Colitis Surgery
Your medical team will closely monitor your progress to ensure you are healing properly before you return home. Transitioning back to daily activities involves a gradual process of physical adjustment and dietary management tailored to your specific procedure.
The length of your recovery will vary depending on your overall health and whether you underwent a staged J-pouch creation or a permanent ileostomy. Ongoing follow-up appointments with your colorectal specialist are crucial for maintaining long-term digestive health and managing any potential changes.
Benefits of UC Surgery
- Relief from severe symptoms like pain and persistent diarrhea
- Elimination of diseased tissue to prevent future complications
- Significant improvement in quality of life and daily functioning
- Reduction or elimination of long-term medication use
- Lowered risk of colorectal cancer
How Much Does Ulcerative Colitis Surgery Cost?
The total price of ulcerative colitis surgery varies based on your personalized care strategy and includes fees for anesthesia, the surgeon, and the facility. Most insurance plans provide whole or partial cost coverage for these procedures when they are classified as a medical necessity by your carrier. To help you navigate the financial aspects of your care, the billing experts at UNC REX are available to assist with insurance verification and pre-authorization steps.
Frequently Asked Questions
How is ulcerative colitis typically diagnosed?
Doctors generally use a combination of blood tests, stool samples, and a colonoscopy to visualize the internal lining of the large intestine. During the colonoscopy, a small tissue biopsy is often collected to confirm the specific patterns of inflammation associated with the condition.
Will I be able to live a normal life after UC surgery?
Yes, most people can lead a full and active life after UC surgery, although adjustments may be necessary depending on the type of procedure performed. With proper recovery, dietary management, and medical support, patients often experience significant symptom relief and improved quality of life.
Will I need to take any medication after UC surgery?
While surgery may eliminate the need for certain UC medications, some patients may still require medicine to manage inflammation, prevent infections, or address complications. Your doctor will determine the best post-surgical treatment plan for you.
What is the difference between ulcerative colitis and Crohn’s disease?
Ulcerative colitis is strictly confined to the colon and rectum, whereas Crohn’s disease can affect any part of the digestive tract from the mouth to the anus. Additionally, UC involves continuous inflammation of the innermost lining, while Crohn’s often presents as patchy inflammation that can penetrate deeper into the bowel walls.
Schedule an Appointment
If you are experiencing persistent symptoms and are considering ulcerative colitis surgery in Raleigh as a treatment option, our dedicated team is ready to assist you. Get in touch with the Colorectal Division of North Carolina Surgery at UNC REX to set up your first appointment.