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Surgery is required in 20% of patients with ulcerative colitis.
The quality of life after surgery is excellent and a colectomy eliminates the need for continuous medical therapy and the need for cancer surveillance.
Most extraintestinal symptoms of UC will resolve after a colectomy. The exceptions to this are sclerosing cholangitis and arthritis. Note also that growth retardation is reversed if a colectomy is performed before puberty.
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPPA) which conserves the anal route of defaecation (without a stoma) has become the recent gold standard for surgery in patients with UC (1).
Be aware that there may be an increased likelihood of needing surgery for people with any of the following (2):