<prompt> Treatment of choice in case of chronic ulcerative colitis is:Colectomy with ileostomyColectomy manual proctectomy ileoanal pouch anastomosisProctocolectomy with ileoanal pouch anastomosisIleorectal anastomosis  <response>: 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 pouch4 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 