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Expert Management by Dr. Ashok Kumar, MCh SGPGI
Call 05226664444Book AppointmentUlcerative colitis is a chronic inflammatory bowel disease affecting the colon and rectum. Characterized by continuous mucosal inflammation, it causes bloody diarrhea, abdominal pain, and complications like toxic megacolon and increased colorectal cancer risk.
Dr. Ashok Kumar provides comprehensive medical management coordination and specialized surgical intervention for severe cases, including proctocolectomy with IPAA (ileal pouch-anal anastomosis) creation—the gold standard definitive surgical treatment.
Removal of entire colon and rectum with creation of ileal pouch (J-pouch) and anastomosis to anus. Restores bowel continuity and preserves continence in most patients. Three-stage procedure typically: Stage I (proctocolectomy with pouch creation and ileostomy), Stage II (ileostomy reversal after 2-3 months).
Dr. Ashok Kumar's Expertise:
Specialized training in complex IBD surgery. Extensive experience in IPAA procedures with excellent functional outcomes. 25+ years in surgical gastroenterology with focus on quality of life after surgery.
Hospital stay 5-7 days for Stage I. Bowel function with IPAA typically 4-6 times daily after adjustment (usually 3-6 months). Most patients achieve good to excellent continence and return to normal activities. Regular follow-up essential for pouch complications.
Ulcerative colitis is a long-term inflammatory bowel disease that causes inflammation and ulcers in the lining of the large bowel (colon) and rectum. It always starts in the rectum and may extend continuously up the colon. Like Crohn's disease, it tends to have flare-ups and periods of remission.
Colonoscopy with biopsies confirms the diagnosis and shows how much of the colon is involved. Blood and stool tests check for infection, anaemia and inflammation. It is important to rule out infections, including amoebic and tubercular infection, which can look similar.
Most people with ulcerative colitis are treated with medicines. Mesalamine-type medicines are commonly used to control mild to moderate disease and to prevent flares. Steroids are used for short periods during flares, and immunosuppressants or biological therapies are used for more difficult disease. A severe flare may need admission to hospital for intravenous treatment.
The usual operation is removal of the colon and rectum (proctocolectomy). In many patients, a pouch is created from the small intestine and joined to the anus (IPAA or J-pouch), allowing them to pass stool normally without a permanent bag. Surgery is often done in two or three stages.
People with long-standing extensive colitis have a higher risk of colon cancer, so regular surveillance colonoscopy is advised. Taking medicines regularly, even when well, helps prevent flares.
Removing the colon and rectum removes the disease, because ulcerative colitis affects only these parts of the bowel. Pouch inflammation (pouchitis) can still occur and is usually treatable.
Diet alone cannot control the disease, but some people find that certain foods worsen symptoms during flares. A balanced diet helps maintain nutrition.
It is a reservoir made from the end of the small intestine and joined to the anus after the colon and rectum are removed, so stool can be passed in the normal way.
Book a consultation: call 0522-666-4444 or use the request call back form on this page. In an emergency, come straight to the 24/7 emergency department at Charak Hospital, Hardoi Road, Dubagga, Lucknow.