...after just a decade or so away. And how good it is to see Jan's smiling face again (don't be offended Kathy, you know I still see your smile elsewhere Wink )

For those who remember me, Dan's doing fine and we have a beeYOUteeful baby girl Big Grin

Enough about us though. A good friend had a total colectomy for UC about a year ago. Having been sick for years, she's pretty happy with the ileostomy at the moment but her surgeon is pressing her to make a decision on having a j-pouch. So I have a couple of questions on her behalf.
First, is it generally accepted that there's a 2 year time limit on this decision? Her surgeon has told her that if she's going to have a pouch she needs to have it within 2 years of the colectomy or there's less chance of success.
And second, is the one-step standard now and what determines whether a one-step will be done? One of her worries is that the surgeon has told her there's a 50% chance she'd wake up with another stoma and needing another surgery. Setting aside that that's a dumb-arse, glass-half-empty, scare-the-patient way to explain the surgical options (ok, not really setting it aside), she wants to know how they make that decision. And I don't know. Back in Dan's day, 3-step was standard in the UK, so I'm in the dark.
Original Post
quote:
First, is it generally accepted that there's a 2 year time limit on this decision? Her surgeon has told her that if she's going to have a pouch she needs to have it within 2 years of the colectomy or there's less chance of success.
There have been a number of people here who've waited much longer than that. I think if she'd like to wait longer she should keep up with kegal exercises so those muscles don't get all lazy and such.
quote:
is the one-step standard now and what determines whether a one-step will be done? One of her worries is that the surgeon has told her there's a 50% chance she'd wake up with another stoma and needing another surgery.
I think it totally depends on the surgeon and what s/he is comfortable with. But the fact that the surgeon is even mentioning j-pouch construction and takedown all in one is promising. But even more, the fact that the surgeon is making no promises is a good thing. Can you imagine how shocking it would be to except [almost] real plumbing to be installed and to wake up to discover an outhouse?

It's so nice seeing your wonderful perky face here. We've missed you. But then again, having a perfect baby and gazing at her 24/7 is a much better use of time.

kathy Big Grin

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