Total Proctocolectomy with End Ileostomy
Complete removal of colon and rectum with a permanent end ileostomy — the most reliable curative option for severe colitis or polyposis when J-pouch is not suitable.
What is Total Proctocolectomy with End Ileostomy?
Total Proctocolectomy with End Ileostomy is the complete surgical removal of the colon, rectum, and anus, with creation of a permanent end ileostomy on the abdominal wall. It is the most definitive curative procedure for severe ulcerative colitis, familial adenomatous polyposis, or other colon disease — chosen when J-pouch surgery is not suitable due to patient factors, sphincter weakness, or low rectal cancer. With modern stoma care and structured support, most patients live full, active lives. Dr. Tejasree Vengala performs this surgery at Lux Hospitals, Hyderabad, with sensitivity and expert technique.
How the Procedure Works
Pre-Operative Counselling
Detailed counselling about life with an ileostomy is provided. The optimal stoma site is marked by the stoma nurse.
Anaesthesia & Preparation
Surgery is performed under general anaesthesia. The abdomen is prepared and draped in sterile fashion.
Colon, Rectum, and Anus Removal
The entire colon, rectum, and anal canal are carefully removed laparoscopically or open, with attention to preserving important pelvic nerves.
End Ileostomy Creation
The end of the small intestine is brought through the abdominal wall at the marked site and matured to the skin to create a permanent stoma.
Recovery & Stoma Training
Patients are mobilised early. The stoma nurse provides comprehensive training on pouch care, change, and lifestyle adaptation.
Outcomes
Who Needs This Treatment?
- →Most definitive curative surgery for severe colon disease
- →Eliminates all colon-related symptoms permanently
- →Eliminates cancer risk in FAP and severe colitis
- →Single major surgery without staged J-pouch procedures
- →Most patients return to full active life within weeks
- →Comprehensive stoma nurse support throughout
When J-pouch is not the right answer, end ileostomy gives a clean, definitive cure. Modern stoma care has come so far — patients work, travel, exercise, even swim. With the right support, an ileostomy is just one part of a full and active life.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.