All of the following are true about ulcerative colitis except:
Extraintestinal manifestations of ulcerative colitis: Migratory polyahritis Sacroiliitis Ankylosing spondylitis Uveitis Skin lesions Primary Sclerosing Cholangitis (PSC) Peri cholangitis Indication for Sx in UC: 1. Severe refractory fulminating disease 2. Chronic disease with a. Anaemia b. Frequent stools c. Tenesmus (cramping rectal pain) 3. Steroid-dependent disease 4. Remission cannot be maintained 5. Neoplastic change 6. Extra intestinal manifestations - PSC 7. Severe haemorrhage or stenosis causing obstruction rarely Sx of choice: 1. Subtotal colectomy & ileostomy - Emergency (20%) 2. Proctocolectomy and permanent end ileostomy 3. Proctocolectomy with ileoanal pouch. 4. Subtotal colectomy and ileorectal anastomosis
Steroid dependent cases needs surgery
The highest risk of UC requiring surgery in 1st year
20% end up in colectomy
Extra-intestinal problems of UC are managed medically
NEET 2018