Surgery
Surgery by the best gastroenterology surgeons in Kolkata can often eliminate
ulcerative colitis. But that usually means removing your entire colon and rectum
(proctocolectomy).
In most cases, this involves a procedure called restorative proctocolectomy and ileal
pouch-anal anastomosis with a temporary diverting ileostomy in the 1st stage. In the
2nd stage, the ileostomy is closed to restore the bowel continuity. This procedure
eliminates the need to wear a bag to collect stool. Your surgeon constructs a pouch
from the end of your small intestine. The pouch is then attached directly to your
anus, allowing you to pass stool relatively normally.
Surgery by a gastrointestinal surgeon in Kolkata may be necessary as an emergency
procedure in a situation where either the disease cannot be controlled by
medications or there is bleeding or there has been a perforation. In such a situation,
a subtotal colectomy with ileostomy is carried out as a 1st stage procedure followed
by 2nd stage completion restorative proctocolectomy and ileal pouch-anal
anastomosis with covering ileostomy. Later on, in the 3rd stage, the ileostomy is
closed to restore the bowel continuity.
In some cases, a pouch is not possible. Instead, surgeons create a permanent
opening in your abdomen (ileal stoma) through which stool is passed for collection in
an attached bag.