I had all but 8" of my colon removed when I was 15 - straight connection. This was before j-pouch or any pouch surgery had come about. I still had some colitis in the 8" but no bleeding. I am so thankful I had the resection-felt so much better! The resection worked for 16 years but I ended up having to have j-pouch surgery and still have it 25 years later. After the resection I still had to be on a good bit of medicine. I'm allergic to sulfa drugs so a lot of times I had to use cortisone enemas for weeks at a time or be on prednisone. During the 16 years after the resection I HAD TO KNOW where the bathroom was and what the fastest route to it was wherever I went. I was careful about what I ate but if the food was rich, Italian or salad (all of which I was able to eat), I stayed very close to the bathroom.
To sum it up, my only choices at 15 were colostomy, ileostomy or resection. (My resection surgeon was ahead of his time. I was blessed and am soooooo thankful my grandmother worked for him and he figured out the resection just for me so I would not have to have a colostomy or ileostomy during my teen years. HOWEVER, if j-pouch surgery had been available at the time, I would have chosen the j-pouch surgery, without a doubt! The j-pouch has given me a lot more of a normal life!