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