Laparoscopic Total Colectomy & Ileoanal Pullthrough

Some examples of urgent or emergency situations that would require this procedure are:

• abscesses
• bowel perforation
• severe bleeding
• toxic megacolon (the most acute and the least common)

If you have Ulcerative Colitis and...

• you are unresponsive to optimal medical management or are unable to be successfully weaned from chronic or long-term steroid therapy.
• you have an urgent or emergency situation in which an operation is necessary to avoid serious consequences.
• you feel it is causing you an unacceptable quality of life. For example:
  • inability to consistently go to school or worse
  • side effects from the long-term use of medication
  • failure to grow or develop normall
  • missing out on sports and other after school activities due to frequent "flare-ups"
• If you have Familial Adenomatous Polyposis (FAP) and...
• you want to decrease the risk of developing colorectal cancer when there is a family history of abnormal polyps growing in the colon.

...then you are a candidate for surgery.