I was diagnosed with colon cancer recently in the distal sigmoid colon after 12 years of ulcerative colitis. I was under yearly colonoscopic surveillance this is the first time that biopsy confirmed cancer. The following ct scan did not show that the cancer has spread, but I need to get my colon removed asap.
Ulcerative colitis was under control with Entyvio but I was never in full remission and had inflammation and bleeding and 10+ bowel movements for these 12 years.
I have been offered 2 step j-pouch surgery. I need a reference of a good surgeon specialized in j-pouch in the Phoenix, AZ area. I am also open to have surgery any where in US if experienced j-pouch surgeons are not available here.
I was also thinking how to chose between j-pouch or end - ileostomy ? I am a male in early 40s. What are the chances that I will not have chronic pouchitis or related problems and that will continue my medicines, urgency and 10+ bowel movements in a day and inflammations. How to decide if I choose to have a Ileostomy over J-Pouch ?
Any suggestion/recommendation and guidance is highly appreciated.