A 54-Year-Old Man Comes to the Office for Follow-Up After

question 365

Multiple Choice

A 54-year-old man comes to the office for follow-up after a recent colonoscopy.  Six weeks ago, the patient was hospitalized due to left lower quadrant abdominal pain; CT scan of the abdomen revealed focal thickening of the sigmoid wall.  The symptoms resolved with treatment and the patient underwent outpatient colonoscopy a week ago, which revealed sigmoid colon findings as shown in the exhibit.  The patient now feels well and reports no residual symptoms.  Physical examination is normal.  Which of the following is the most appropriate recommendation to prevent future complications from this patient's condition?

• A)Avoidance of nuts and seeds
• B)Daily low-dose aspirin
• C)Elective sigmoid resection
• D)Frequent endoscopic surveillance
• E)Increased dietary fiber intake
• F)Oral probiotic therapy

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