Posted 12/15/2012 8:25 PM (GMT -6)
I think Sue's advice is the best.
My surgeon at the Cleveland Clinic (considered one of the best) had me do three steps. But I was very sick. I was on 40megs of pred for the month before. I was on 20 for several months before that. In fact, I'm having to wait a minimum of 6 months in between step 1 and step 2 to get the pred out of my system. I don't even think the dosage mattered to them - prednisone for months = 3 step.
The negative is having three operations (two of them major). That means more risks, more pain over time, more drugs, more waiting, more time off of work, and more bills.
The positive is each surgery is not quite as harsh on you. Now, don't get me wrong...they are hard surgeries but I've heard that the colon + jpouch creation combined is a bit of a butt kicker. With the three stages, you get the "bad" colon out. You start to feel a bit better. Because the pred is gone for the second surgery, your tissues are less delicate (and better for the surgeon to work with), and your jpouch will heal better.