Surgery continues to play an important role in the therapeutic arsenal in @entity31 . In @entity1960 , close collaboration between the gastroenterologist and the surgeon is pertinent. Absolute indications for surgery include toxic @entity1528 , perforation, and severe @entity14 . In addition, surgery should always be considered upon deterioration during medical therapy. The recommended operation in @entity1960 is colectomy and ileostomy, with the rectum left in situ; reconstruction is not an option in the acute setting. In chronic @entity1960 , often with long-term @entity134 therapy, healing conditions are poor. A staged procedure is preferred also in these cases. In cases with @entity1141 , surgery should be done after verifying the @entity1141 since these @entity1 often have little symptoms from their @entity1960 . The proctocolectomy should in these cases include total mesorectal excision. Ileal pouch-anal @entity254 is the standard bowel reconstruction in @entity31 . The various options should, however, always be thoroughly discussed, considering the pros and cons in each individual @entity1 , before a choice is made. Ileorectal @entity254 is a temporary alternative in select cases (e.g. young @entity1 not having had @entity1 ). Reconstructive surgery is best done approximately 6 months after primary surgery. Surgery for @entity31 should be seen as complementary to medical treatment and may prevent complications, improve the @entity1 ' quality of life and occasionally be life-saving. Correct assessment and optimised medical treatment are prerequisites for surgery on accurate indications and good surgical results. Therefore, close interactions between gastroenterologists and colorectal surgeons are mandatory for optimal @entity1 outcome.

Surgery in XXXX : indication and timing.

@entity1 :: ('9606', 'Species') :: ['women', 'children', 'patients', 'patient'] @entity1528 :: ('MESH:D008531', 'Disease') :: ['megacolon'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity31 :: ('MESH:D003093', 'Disease') :: ['ulcerative colitis'] @entity134 :: ('CHEBI:35341', 'Chemical') :: ['steroid'] @entity1960 :: ('MESH:D003092', 'Disease') :: ['colitis', 'acute colitis', 'continuous colitis'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal bleeding'] @entity1141 :: ('MESH:C535662', 'Disease') :: ['dysplasia']
@entity31 :: (MESH:D003093,Disease) :: ['ulcerative colitis']
