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Recent years have seen a decline in diverticular surgery in those surgeons who are aware of the evidence of continued symptoms after elective "diverticular" operations. The overlap of diverticular and irritable bowel symptoms is great, thus avoidance of the "treatment being worse than the disease" syndrome is paramount.
Having worked with Professor John Nicholls who with Sir Alan Parks described the pouch as a cure for Colitis, for Crohn's disease surgery has traditionally been best avoided. However, the place of surgery in Crohn's is perhaps understated. The role of abdominal surgery for Crohn's is discussed in the presentation below. Taking great care of anal sphincter function in perianal Crohn's should always be the goal.