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Benefits of leaving the rectum initially: Shorter, safer operation in a sick patient Steroids can be stopped after the colon is removed, improving the patient's condition Nutritional status improves over subsequent weeks J-pouch reconstruction is then planned as an elective procedure 3–6 months later, when the patient is fit and well The rectal stump is either brought out through a small opening in the skin to prevent internal pressure build-up (called a mucous fistula), or sealed off inside the abdomen