I am assuming you meant jpouch? I would try remicade before surgery. This is coming from someone who just got over a horrible reaction to the drug. I had 2 good years on it. The last 2 infusions afterwards were hell, I will admit that. But I should have listened to my body the last infusion when I seemed to have a reaction and not taken it again. Remicade helped turn a 1 inch ulcer to 1/4 inch within the first 3 months! Unfortunatley, the ulcer is still that size now, like 2 years later. But I didnt have any problems with the Remicade till I got a high dose and more often. I used to feel great after getting it and had the best bms of my life on it after a few months. What about Humira instead of Remicade, is that an option? I hear it has less risk of reactions. I guess it depends. I don't know how long youve had UC and how many meds you have tried. That makes a difference imo about getting surgery. I personally have decided if Humira doesn't work for me then I will get the illeostomy not the j pouch. I have gone through enough and dont want pouchitis or more surgeries or perianal abcesses which my GI says I am at risk for. I guess looking back I wish I would have gotten the illeostomy 3 years ago or sooner. But that is because I haven't had the surgery yet and it sounds really good right now. I would take a chance and try Remicade or Humira first. Some people go into remission on those. And maybe in the meantime some new better drugs will come out. I guess it all depends on your exact situation and what you want to do.
Diagnosed with Left-sided Ulcerative Colitis 1995 at 15
Tried: Prednisone, Rowasa & Hydrocortisone Enemas, Proctofoam, Sulfasalazine, Asacol, Probiotics, Fish Oil, Canasa, Enotcourt, Colazol, Proctocort, Anamantle, etc...
Diagnosed with Ulcerative Proctitis with rectal fistula in 2004, put on Remicade
2007:Increased Remicade dosage-660mg every 6 weeks,diagnosed with Psoriatic Arthritis & Fibromyalgia
Current meds: Remicade 660mgs every 6 wks ( had a reaction will start Humira in 6 weeks) Lomotil, Darvocet, Clorazepate