Colorectal surgeons must go for the less invasive approaches by using the correct techniques and must know when to advise patients to avoid surgery of bowel transit restoration.

In this lecture Steven Wexner goes through an update, reviewing the published data about current controversies in pouch surgery.

As a summary, among the conclusions: indeterminate colitis cases has the worst results; age is not a limit; obese patients are not suitable for pouch surgery; diverting stoma can be omitted in selected patients.

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Dr. Steven D. Wexner MD,PhD,Executive Director and System Chief, Colorectal Surgery. Professor and Vice-Chair for Professional Development, Department of Surgery MedStar Georgetown University Hospital, USA Colorectal Surgery