When surgical treatment is indicated in the course of ulcerative colit
is, several operations may be performed. In the vast majority of patie
nts, total proctocolectomy and ileal pouch-anal anastomosis is the pro
cedure of choice. Other operations (total proctocolectomy with Brooke
ileostomy, total colectomy with ileorectal anastomosis or with Kock po
uch) can also be used in certain circumstances. Postoperative quality
of life must be considered before any decision is finalized.