This review deals with several topics of interest, including ileal pou
ch-anal anastomosis, pouch salvage surgery, stricture-plasty, and the
use of laparoscopy in the management of inflammatory bowel disease. Th
e management of small bowel obstruction is discussed, New insights are
offered on the causation of Roux stasis syndrome. Factors influencing
the healing of small bowel anastomoses are reviewed. Adaptive changes
that occur with the short bowel syndrome are described. Finally, the
current experience with small bower transplantation is highlighted.