You can choose to have surgery even if the colitis isn’t severe, although it’s a decision that should be made in consultation with your gastroenterologist who can then refer you to a colorectal surgeon. The reasons why people with UC elect to have an operation often stems from being fed up with the constant presence of symptoms, which may not be all that severe, but are still bad enough to affect that person’s quality of life. Other factors, such as duration of disease and risk of cancer may also influence the decision to have an operation. It’s not a decision to be made lightly, especially in respect of the type of surgery that’s usually involved and expectations of the end result, which could mean swapping from one set of problems to a whole set of new ones. For some people with resistant, distal UC, removal of the appendix has resulted in long-term remission. It is not mainstream treatment. However it’s open to patients to be able to discuss this with their specialist doctor/s.
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