FRCS Gen Surg Practice Questions - Intercollegiate Specialty Fellowship Examination In General Surgery (FRCS Gen Surg) Exam

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A 24-year-old man with a 10-year history of ulcerative colitis has surveillance colonoscopy showing flat high-grade dysplasia confirmed by two pathologists, with otherwise quiescent pancolitis. What is the most appropriate definitive surgical recommendation?

Endoscopic mucosal resection of the dysplastic area with continued surveillance Increase maintenance immunomodulation and repeat colonoscopy in 6 months Segmental colectomy of the affected segment Restorative proctocolectomy with ileal pouch-anal anastomosis

Correct Answer:

Restorative proctocolectomy with ileal pouch-anal anastomosis

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