It depends upon a few things:
1. How sick the patient is going into surgery'
2. How long the patient is on prednisone and to what dose prior to surgery
3. The final decision comes when the surgeon opens you up. At that point he or she will determine whether or not you are a good candidate for what's called a one-step (no temp ostomy).
If you consult with a surgeon they will ask you which procedure you prefer (1 or 2 step) and then hopefully you get the surgery you selected.
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