Which surgical option is not typically associated with patients having chronic ulcerative colitis?

Surgical resection without anastomosis is not a typical surgical option for patients with chronic ulcerative colitis, primarily because this approach does not restore bowel continuity. In managing chronic ulcerative colitis, the goal of surgery is often to remove the diseased sections of the colon while maintaining as much bowel function as possible.

Proctocolectomy with ileal pouch-anal anastomosis (IPAA) is a common surgical intervention that allows for the creation of a pouch from the ileum and its connection to the anal canal, preserving some degree of digestive function. Similarly, an ileostomy is often performed for patients, allowing waste to exit the body directly into a stoma, which is an established practice for those needing to bypass a malfunctioning colon. A colostomy can also be performed, though it is less common in cases of ulcerative colitis compared to ileostomy.

In the case of surgical resection without anastomosis, not only is continuity lost, leading to a need for a permanent stoma, but it does not optimize the patient’s quality of life or bowel function post-surgery, which is contrary to the surgical principles guiding the management of ulcerative colitis. Thus, this