<prompt> All of the following are true about ulcerative colitis except:Steroid dependent cases needs surgeryThe highest risk of UC requiring surgery in 1st year20 end up in colectomyExtra-intestinal problems of UC are managed medically  <response>: Extraintestinal manifestations of ulcerative colitis: Migratory polyahritis Sacroiliitis Ankylosing spondylitis Uveitis Skin lesions Primary Sclerosing Cholangitis PSC Peri cholangitis Indication for Sx in UC: 1. Severe refractory fulminating disease 2. Chronic disease with a. Anaemia b. Frequent stools c. Tenesmus cramping rectal pain 3. Steroid-dependent disease 4. Remission cannot be maintained 5. Neoplastic change 6. Extra intestinal manifestations - PSC 7. Severe haemorrhage or stenosis causing obstruction rarely Sx of choice: 1. Subtotal colectomy ileostomy - Emergency 20 2. Proctocolectomy and permanent end ileostomy 3. Proctocolectomy with ileoanal pouch. 4. Subtotal colectomy and ileorectal anastomosis 