Surgery for ulcerative colitis (UC) is often curative for colorectal disease and significantly improves quality of life, especially in patients with medically refractory disease. Dr. Stefan Holubar emphasizes that surgery should not be seen as a last resort but as a viable treatment complementing medical therapy. The most common surgical approach is the three-stage J-pouch procedure, allowing patients to eventually defecate normally without an ostomy. This process includes a colectomy, pouch construction with protective ileostomy, and ileostomy closure.
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