Regarding surgery in inflammatory bowel disease, the following statements are TRUE:

• A. False: Recurrent obstruction is a surgical indication in Crohn's disease.
• B. True
• C. True
• D. True
• E. False: Surgery is indicated in Crohn's disease for complications (obstruction, fistulae, perforation, perianal disease, failed medical therapy); it is not never indicated, though it is not curative.

Surgery in IBD

Surgery has different roles in the two diseases.

Ulcerative colitis

• Colectomy can be curative (disease is colon-limited).
• Indications include failure of medical therapy, steroid dependence, intolerance, severe disease, extraintestinal manifestations, haemorrhage/stenosis, and high-grade dysplasia or carcinoma.

Crohn's disease

• Resection does not cure CD; surgery is for complications.
• Indications include recurrent obstruction, bleeding, perforation, failure of medical therapy, steroid dependence, fistulae, perianal disease and malignant change.

Statement-by-statement verdict

Why A is false

Recurrent obstruction IS an indication for surgery in Crohn's disease.

Why B is true

Colectomy can cure UC.

Why C is true

Resection does not cure CD.

Why D is true

High-grade dysplasia in UC is an indication for surgery.

Why E is false

Surgery is indicated in Crohn's for complications, so it is not 'never' indicated.