There's one of two scenarios:
1. He has a loop ileostomy and has his jpouch made but non-functioning. If this is the case the second surgery is quite simple, close the ileostomy and the pouch starts working.
2. He has a loop ileo and had most but not all of his rectum removed, but the pouch is not made yet. If this is the case the second surgery is a bit more complicated.
Best to find out from his surgeon where he exactly stands.
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