[Surgical techniques in Crohn disease and ulcerative colitis]

The usefulness of surgical treatment of inflammatory bowel disease is determined by the results that can be achieved. In Crohn's disease, in addition to minimal resections, non-resective procedures such as stricturoplasty, are also available for the treatment of acute and chronic complications. The operative treatment of peri-anal Crohn's lesions is determined by the acute or chronic complications that develop. Ulcerative colitis can be cured by complete removal of the colorectal mucosa, and malignant degeneration thus avoided. Continence-preserving colectomy with proctomucosectomy and ileo-anal pouch anastomosis obviates the need for a permanent ileostomy.