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033). The presence of 3 or more high-risk features was associated with a poor DFS (P = 0.002). Local excision with adjuvant radiotherapy significantly reduces the risk of complications and stoma formation. It is also an alternative option for patients with fewer than 3 high-risk features. Local excision with adjuvant radiotherapy significantly reduces the risk of complications and stoma formation. It is also an alternative option for patients with fewer than 3 high-risk features. The etiology and pathogenesis of distal colitis (DC) are