When John Goligher speaks about the colon, everyone listens. This doyen of the terminal bowel has decided it is time to bring his classic reference work up to date with a fourth edition. One might question whether coloproctology is moving so swiftly that new editions are needed in such rapid-fire order, but a person of Goligher's enthusiasm and experience vitalizes his new ideas on stapling, low anastomoses, continent ileostomy, and of course on Crohn's disease.
The majority of the pages of this book consist of relatively minor changes in presentations of standard colorectal problems as presented in earlier editions. After all, there is only so much one can say about piles. These chapters, as in previous editions, are marvelously clear as to how this master treats these common lesions. He mentions alternate pathways of decision but there is never any doubt as to what he thinks is the best. The