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Regular Member

Date Joined Sep 2011
Total Posts : 427
   Posted 9/12/2011 10:00 PM (GMT -6)   
I am scheduled for sugery October 10 th but recently (1week) ihave seen blood in my stool i am getting the j-pouch because i have UC . When i saw the sugeron he segested since i wasn't bleeding he would do the 2 step sugery. but now thati am bleeding (ive told my gi doctor) i dont know if i should have the 3 step sugery.
I personally want the 2 step but with the bleeding i dont know if its safer for me to do the 2 step sugery i am curently (2nd day)taking inemas to help with the bleeding but it takes a while to kick in. So im not sure if i should continue w/ sugery as planed or should i think about doing all 3 steps?!!!

Veteran Member

Date Joined May 2009
Total Posts : 827
   Posted 9/13/2011 8:00 AM (GMT -6)   

This is your surgeon's call. Yes it would be nice to get it all done in two surgeries but if three is the safer way to go than so be it. Dillon was depressed when he found out he needed three surgeries but it is now all just distant memories.
Mom to Dillon (age 20) who had three major UC flares over two years....Very sick. Colectomy Sept/09, J pouch built Jan/10 and take down Feb/10. Now out living life at University and doing great. NO MEDS

windy city
Veteran Member

Date Joined Dec 2010
Total Posts : 607
   Posted 9/13/2011 8:53 AM (GMT -6)   

2 surgeries are of course ideal, but you have to factor in possible complications and healing time if you go that route. We never know how our bodies are going relate to surgeries. I myself had colectomy last year with ileorectal anastamosis...1 surgery. My surgeon suggested an temp ileo because of the inflamation due to my reoccurring diverticulitis, but I opted out and took that risk. It did disconnect, and an ileostomy performed, but at that point numerous life threatening complications arouse...hospitalized for 6 weeks. In hindsight I would've done the stoma from the beginning. Really talk it over with surgeon, you need to protect yourself physically and mentally and weigh all options carefully.

Veteran Member

Date Joined Feb 2006
Total Posts : 5698
   Posted 9/13/2011 10:28 AM (GMT -6)   
It's your surgeon's call. Bleeding prior to surgery is not so much an issue with number of steps as prednisone use is. If you have a recent history (past year) of pred use than this might indicate 3-steps. And if you have to get a 3-step, sometimes patients rebound so well after step 1 that the surgeon combines steps 2&3.


Veteran Member

Date Joined Feb 2011
Total Posts : 4546
   Posted 9/13/2011 11:13 AM (GMT -6)   
I was in the worst shape imaginable going in to surgery. I was bleeding with 20+ trips a day to the bathroom. The important thing was I was already off drugs prior to going in. I was on Remicade and stopped it 3 months before surgery. I had two step laparoscopic surgery and I was fine. Just make sure your surgeon knows everything that is going on with will be in good hands.
DX UC - in 2005 when I was 37
Tried every drug-even Remicade-Tried diets-nothing worked
Step 1: J-pouch surgery (Laparoscopic restorative proctocolectomy w/ temporary diverting loop ileostomy) 6-25-10
Step 2: Take down surgery (Ileostomy reversal) 10/8/10
No more UC!!! Very happy with my results of this surgery!

Regular Member

Date Joined Sep 2011
Total Posts : 427
   Posted 9/14/2011 2:20 PM (GMT -6)   
i told my mom about the bleeding and she called my GI doctor he just told me to use the inemas which im doing but i feel that they arent working. Thanks for the advice ill have my mom call the sugeron today
by the way my bowls have been white does anyone know what that means or have experinced it this is like the 3rd time (on a diffrent occasion ) happening
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