Will I need surgery for Crohn's disease?

Filter 3 answers by contributor:

  • PRACTITIONER
  • GROUP
  • AUTHOR
  • TV PERSONALITY
  • ALL
  1. Johns Hopkins Medicine
     

    Crohn's disease is one form of inflammatory bowel disease (IBD) in which inflammation of the gastrointestinal tract develops, with the inflammation extending throughout the intestinal wall.

    People with Crohn's disease find they need surgery within the first 10 years, usually somewhere between the eighth and 10th year.

    In order to fight Crohn's disease, your doctor might recommend one of the following surgeries:

    • Stricturoplasty - In this procedure, the doctor opens up an area of the intestine that has gotten smaller because of Crohn's. The area of the intestine that has narrowed is called a stricture. The doctor does not remove any of the intestine in this surgery.
    • Colon or small bowel resection - In this surgery, the damaged part of the intestine is removed and the two healthy ends are sewn back together.
    • Colectomy-. The doctor removes either a part of the colon, or the entire colon and rectum. The body needs the colon to move and get rid of waste. So after a colectomy the doctor must create a new way for waste to leave the body. The most common way to do this right now is for the surgeon to create an opening in the abdomen called a stoma and providing a link to a pouch that's worn over the opening. The stoma allows stool to drain from the intestines and the pouch collects the waste. It's emptied throughout the day.

    You need to be aware that surgery, even the most radical procedure, is not a cure for Crohn's. Right now there is no cure. So you need to discuss these options carefully with your doctor.
    Eventually between 50 and 60 percent of people who've had surgery experience relapses.

    More Related Answers from Johns Hopkins Medicine
    Crohn's disease is one form of inflammatory bowel disease (IBD) in which inflammation of the gastrointestinal tract develops, with the inflammation extending throughout the intestinal wall. People with Crohn's disease find they need surgery within... More
  2. Dr. Eugene F. Yen
     
    As current medicines have improved in the treatment of Crohn's Disease fewer people are requiring surgery. Learn more from Dr. Eugene Yen on behalf of NorthShore University HealthSystem about treating Crohn's Disease.





    More Related Answers from NorthShore University HealthSystem
    As current medicines have improved in the treatment of Crohn's Disease fewer people are requiring surgery. Learn more from Dr. Eugene Yen on behalf of NorthShore University HealthSystem about treating Crohn's Disease. More
  3. Dr. Michael Zadeh
     
    Dr. Michael Zadeh answered:
    Crohn's disease is mostly managed medically. Surgery for Crohn's disease is reserved for emergent situations such as intestinal obstruction, uncontrollable bleeding, or intestinal perforation. The surgical treatment should be as conservative as possible in order to preserve as much healthy intestine as possible.
    More Related Answers from Dr. Michael Zadeh
    Crohn's disease is mostly managed medically. Surgery for Crohn's disease is reserved for emergent situations such as intestinal obstruction, uncontrollable bleeding, or intestinal perforation. The surgical treatment should be as conservative as... More