Bleeding in Ulcerative colitis

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Q) 30 yr old female with severe rectal bleed known case of UC , on admission not responding to steroids and medical treatment  .. next line of treatment ?
a) Subtotal colectomy with Ilerorectal anastomosis
b) Subtotal colectomy with ileostomy

c) Total Proctocolectomy TPC with ipaa
d) Tpc with end iliostomy

 

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