Which surgery is appropriate for chronic ulcerative colitis?

Proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the preferred surgical option for patients with chronic ulcerative colitis. This procedure involves the complete removal of the colon and rectum, followed by the creation of an internal pouch from the ileum, which is then connected to the anal canal. This approach preserves anal function and allows for more natural bowel movements post-surgery, making it highly beneficial for patients who suffer from this debilitating condition.

Chronic ulcerative colitis is characterized by inflammation of the colon, often leading to symptoms such as persistent diarrhea, abdominal pain, and rectal bleeding. When medical management fails or in cases of severe disease complications, surgical intervention becomes necessary. The IPAA procedure not only alleviates symptoms but also significantly reduces the risk of future complications associated with chronic ulcerative colitis, including cancer.

The other options presented do not address the underlying condition of chronic ulcerative colitis effectively or are not indicated for its management. A colostomy, while it may provide relief, does not provide a definitive cure and likely results in more significant lifestyle changes. An appendectomy is unrelated to ulcerative colitis and is performed for conditions such as appendicitis. Stricturopl