The aim of the Consensus is to promote a European perspective on the management of ulcerative colitis (UC) and its dilemmas. European Crohn's and Colitis Organisation (ECCO) is a forum for specialists in inflammatory bowel disease from 31 European countries. This Consensus is grouped into three parts: definitions and diagnosis; current management; and management of special situations. This third section on Special Situations includes ileoanal pouch disorders, cancer surveillance, psychosomatics and extraintestinal manifestations.