No one surgical choice is perfect for everyone. It takes a lot of research and education to select the best option for YOU and based on your lifestyle. Your family, your doctors, and your friends cannot make this decision for you. The nice thing is that we now have options. Twenty years ago the standard procedure for refractive UC was a permanent ostomy. Today we have more choices; koch pouch, BCIR, and the j-pouch.
There is also no "perfect" surgery. Each option comes with it's own postives and negatives. The only perfect surgery is the one that works perfectly for you.
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free