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Gastroenterologist

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Last Reviewed - June 2026

Dr. Ashish George is one of the leading names in HPB surgery & liver transplantation and has about 18+ years of experience.He is a principal consultant & unit head of liver transplant at Fortis Shalimar Bagh.

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A subtotal proctocolectomy is done to completely remove the Colon and Rectum that has been severely damaged by Inflammation, Cancer, Polyps and/or is at significant risk of being life-threatening.

Persistent abdominal pain
Chronic diarrhea or bloody stools
Unexplained weight loss
Bowel obstruction symptoms
Failure of medical treatment

A subtotal proctocolectomy will be performed under General Anaesthesia, typically using minimally invasive techniques. The surgeon will cut out the Colon and Rectum, and will most likely create either a stoma or an internal pouch to allow for continued elimination of waste products.

A patient preparing for a subtotal proctocolectomy will be required to complete several tests to ensure medical fitness for surgery, including bowel preparation, laboratory tests, MRI, and Colonoscopy. A patient should stop eating and drinking, as well as taking certain prescription medications, as directed by the surgeon.

Infection or bleeding
Anastomotic leakage
Bowel obstruction
Blood clots
Stoma-related complications

It includes removing diseased colon and rectum, provides long-term relief from severe bowel symptoms, prevents progression of colorectal cancer and precancerous conditions, reduces the risk of life-threatening bowel complications, improves overall quality of life, restores bowel function through reconstruction or stoma, and eliminates chronic inflammation and bleeding.

The average duration of a subtotal proctocolectomy is 3-6 hours, depending on the surgeon's approach and any complications that may arise during surgery.

The overall success rate for patients who have undergone subtotal colectomy and Ileorectal Anastomosis (STC-IRA) is estimated at 80-95%. Overall, success is defined as the patient's satisfaction with the functional outcome of the procedure, specifically the avoidance of a permanent stoma and/or the achievement of bowel function that meets the patient's acceptable standards.

90-95%

Treatment with relief from prolapse, bleeding

5-10 days

Typical hospital stay

6-12 weeks

Typical recovery with gradual return to normal daily activities

Explore Hospitals ( 3 )

Asan Medical Centre

Seoul, South Korea

2700+ Beds · 245+ Procedures

ISO

International St. Mary's Hospital

Seoul, South Korea

808+ Beds · 193+ Procedures

JCI

BK Plastic Surgery

Seoul, South Korea

57+ Procedures

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Process Involved for Subtotal Proctocolectomy in Seoul

Preoperative Assessment: The patient receives the following before surgery: imaging studies, blood testing, and anesthetic evaluations, as well as bowel preparation and nutrition optimisation.
During the Surgical Procedures: Surgery is performed in an operating room under general anesthesia; however, most surgeries can also be completed with minimally invasive techniques such as laparoscopic surgery or robotic-assisted surgery. Surgeons will remove the majority of the patients' colon and rectum, and depending on the patient's needs, either create a stoma or an internal pouch.
Postoperative Management: Patients will be closely monitored for complications in the hospital until they are able to resume solid foods, at which point they will transition to liquid and soft foods.

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Ulcerative colitis
Crohn’s disease of the colon
Colorectal cancer
Familial adenomatous polyposis (FAP)
Severe colonic bleeding or perforation

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Open Subtotal Proctocolectomy
Laparoscopic Subtotal Proctocolectomy
Robotic Subtotal Proctocolectomy
Staged Proctocolectomy

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Severe ulcerative colitis not responding to medical treatment
Crohn’s disease affecting the colon
Colorectal cancer involving large sections of the colon
Familial adenomatous polyposis (FAP)
Severe bowel bleeding or perforation
Medically fit for major abdominal surgery
Suitable after detailed clinical evaluation

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Colonoscopy and biopsy
CT scan or MRI of the abdomen
Ileostomy or colostomy
Ileal pouch-anal anastomosis (IPAA)

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Removes diseased colon and rectum
Provides long-term relief from severe bowel symptoms
Prevents progression of colorectal cancer and precancerous conditions
Reduces risk of life-threatening bowel complications
Improves overall quality of life
Restores bowel function through reconstruction or stoma
Eliminates chronic inflammation and bleeding
Reduces dependence on long-term medications

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Subtotal proctocolectomy removes diseased bowel, relieves severe symptoms, and prevents disease progression.
Most patients experience improved quality of life with proper rehabilitation and follow-up care.

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Frequently Asked Questions

Most people take between four and six weeks for their total recovery following subtotal proctocolectomy surgery. During this period, patients gradually regain strength and begin performing light activities of daily living. Complete recovery time can vary due to factors such as patients’ general health, the specific surgical method chosen by their physician, and the quality of postoperative care

In addition to the procedure cost, patients may incur:

Pre-treatment tests

Medications during recovery

Follow-up consultations

Patients can expect their average length of stay in the hospital after subtotal proctocolectomy surgery to be between five and ten days. This gives doctors time to closely monitor recovery and pain levels, evaluate the return of bowel function, provide education on how to care for the surgical site or stoma, and wean patients off their pain medications.

Patients will continue to receive follow-up visits, monitor their nutrition and hydration, and maintain a balanced diet. If their stoma remains, patients must continue to care for it regularly and schedule periodic evaluations to address any potential complications and improve their quality of life.

South Korea has become a destination for people seeking surgical procedures. You will find highly skilled surgeons specialising in Colorectal Surgery with access to cutting-edge surgical technology in well-established hospitals providing high-quality care and post-operative follow-up service, as well as personalised rehabilitation programmes.

Various types of preoperative testing are required. These include laboratory tests (blood), colonoscopy, biopsy, C- or M-scans, chest X-ray, ECG, and anaesthesia clearance testing. All tests will assist in determining the stage of the disease and whether you are fit to undergo significant surgery.

Yes. International patients can expect a safe, smooth, and supportive environment when undergoing a subtotal proctocolectomy in South Korea. All hospitals in South Korea adhere to strict international safety guidelines, provide multi-lingual support services, and utilise an International Patient Care Team to assist with every aspect of your treatment and recovery process.

The overall success rate for patients who have undergone subtotal colectomy and Ileorectal Anastomosis (STC-IRA) is estimated at 80-95%.

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Cost of Subtotal Proctocolectomy in Major cities of South Korea

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