A total colectomy may be recommended for various reasons, including:
Colon cancer: When cancer is widespread or located in multiple areas of the colon. Familial adenomatous polyposis (FAP): A hereditary condition that causes numerous polyps in the colon, which have a high risk of becoming cancerous. Inflammatory bowel disease (IBD): Conditions like ulcerative colitis and Crohn's disease that increase cancer risk.