You aren't necessarily left with 2cm of rectal tissue of your surgeon opts for a mucosectomy. I had the rectal tissue stripped from the cuff and have no disease. Yes, I do have to get annual scopes and biopsies but I consider that reassurance and my risk for colon cancer is far less than it would have been had I kept my colon and rectum.
The number of steps for the surgery is dependent on your health and whether or not the patient is on prednisone. If you go into surgery in good health and no recent prednisone usage it can be done in 1 step. Two steps is for those who are ill and on prednisone and 3 steps are for those who are seriously ill or it's done in an emergency basis. No surgeon can promise which surgery you will have, but can only make the decision when you are in the OR.
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