Ulcerative Colitis: When Surgery Is Needed

Skip to the navigation

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.

Health Tools

Health Tools help you make wise health decisions or take action to improve your health.

Decision Points focus on key medical care decisions that are important to many health problems.

Credits

ByHealthwise Staff

Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine

Adam Husney, MD - Family Medicine

Specialist Medical ReviewerKenneth Bark, MD - General Surgery, Colon and Rectal Surgery

Current as ofMay 5, 2017