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378 However, it is crucial to acknowledge that the predominant cause of hyperuricemia in most patients which is impaired renal clearance of uric acid

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Surgical options are: Proctocolectomy with ileostomy Total colectomy with ileorectal anastomosis Colectomy, mucosal proctectomy, and ileal pouch-anal canal anastomosis (IPAA) Colectomy and stapled ileal pouch distal rectal anastomosis (IPDRA) Total colectomy with ileostomy is the procedure of choice in emergency situations