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MasaratDr. Mohammed Hatem Alsubaih · Consultant Colorectal Surgeon
Home / Ulcerative colitis surgery
COLorectal Health · Riyadh

When medication is not enough for ulcerative colitis: surgical discussions

Masarat is created and supervised by Dr. Mohammed Hatem Alsubaih, Consultant Colorectal and General Surgeon.

Poor response to appropriate therapy, precancerous changes, cancer or acute complications may lead to surgery. Gastroenterology and surgery coordinate care; elective and emergency pathways differ.

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Masarat medical libraryEditorial update:

When is surgery considered?

Poor response to appropriate therapy, precancerous changes, cancer or acute complications may lead to surgery. Gastroenterology and surgery coordinate care; elective and emergency pathways differ.

Permanent stoma or an internal pouch?

Options may include removal of colon and rectum with a stoma or an ileal pouch in suitable patients. A pouch is not a new colon with identical function; frequency, inflammation, continence and staged operations need discussion.

What deserves early planning?

Discuss nutrition, medicines, stages, stoma support, work, fertility and sexual function as relevant. Do not stop steroids or immune treatment yourself. Severe pain and distension with fever or heavy bleeding needs urgent assessment.

Sources and preparation

References support general information; preparation examples and questions do not select an individual treatment plan.

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