This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Inflammatory bowel disease, Subject name: Surgery
[{'content': 'Treatment of choice in case of chronic ulcerative colitis is: \nSelect and explain. \nA. Colectomy with ileostomy, B. Colectomy + manual proctectomy + ileoanal pouch anastomosis, C. Proctocolectomy with ileoanal pouch anastomosis, D. Ileorectal anastomosis', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Indications of Surgery in Ulcerative Colitis 1) Intractability2) Dysplasia or Carcinoma3) Massive Colonic bleeding4) Toxic Megacolon Surgical options in Ulcerative colitis1) TPC + IPAA - Definitive Rx2) TPC + Ileostomy3) TPC + Continent ileal reservoir (Kock pouch)4) TAC + End ileostomy TPC + IPAA- It is the Definitive treatment- Preferred in younger patient with no Rectal dysplasia- Procedure* Some pa of Ileum, whole Colon & Rectum are removed* Ileal pouch created & Anastomosed with Anus Surgical option for UC in patients with special situation - Older patients , Pt. with Fecal incontinence- TPC + End ileostomy- Pt. with confirmed Rectal dysplasia - Mucosectomy with hand sewn IPAA- Pt. with Significant Debility (Poor operative candidate) - TAC with very low Haman closure with End ileostomy', 'role': 'assistant'}]