Ulcerative Colitis Surgical Care in Glendale & Los Angeles
Ulcerative colitis is a chronic inflammatory bowel disease (IBD) that causes inflammation and ulcers in the lining of the colon and rectum. It is primarily managed by a gastroenterologist with anti-inflammatory and immune-modulating medications. A colorectal surgeon becomes involved when the disease doesn’t respond adequately to medical therapy, or when complications develop.
Common Symptoms
- Persistent diarrhea, often with blood or mucus
- Abdominal pain and cramping
- Urgency to have a bowel movement
- Fatigue and unintended weight loss
Treatment Approach
- Surgery (removal of the colon, sometimes the rectum) is considered when medications no longer control the disease, or for complications like severe bleeding, perforation, or precancerous changes
- Unlike Crohn’s disease, surgical removal of the colon and rectum can be curative for ulcerative colitis
- Many patients are candidates for J pouch surgery afterward to avoid a permanent ostomy
A Note Worth Reading
The decision to move from medical management to surgery for ulcerative colitis is typically made together with your gastroenterologist and a colorectal surgeon, based on how well the disease is responding to treatment.
Related Questions
What happens at a first consultation?
A first visit typically includes a review of your symptoms and medical history, relevant prior test results (bring colonoscopy reports, imaging, or pathology if you have them), and a focused physical exam when appropriate. From there, the surgeon will explain what’s likely going on, what (if any) additional testing is needed, and the range of treatment options — from conservative management to procedures or surgery — so you can make an informed decision together.
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This page is general health information, not medical advice, and does not create a doctor-patient relationship. It is not a substitute for an in-person evaluation. If you are experiencing a medical emergency, call 911.
Discuss Ulcerative Colitis With Dr. Gregorian
Call the office or send a message to request an appointment with Dr. Armen Gregorian, MD, FACS, FASCRS.