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Ulcerative Colitis: When Surgery Is Needed - 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.

Recommended Related to Ulcerative Colitis

Vitamins and Supplements for Ulcerative Colitis

If you have ulcerative colitis (UC), a type of inflammatory bowel disease, you may need vitamins or supplements to help maintain good nutrition. That's in addition to eating a healthy, well-balanced diet. Here is an overview of the supplements you may need to take if you have ulcerative colitis. Keep in mind that the best source for nutrients is the food you eat, and that actual deficiencies vary from person to person. So before taking supplements, discuss your nutritional status with your doct...

Read the Vitamins and Supplements for Ulcerative Colitis article > >

    This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.

    WebMD Medical Reference from Healthwise

    Last Updated: November 14, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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