Unfortunately, surgery is necessary in approximately 75% of people with Crohns Disease. This may be done for a variety of reasons, including excessive bleeding, perforation of the bowel, intestinal obstruction, formation of an abscess, or when other medical treatments fail. However, surgery is almost always used as a last resort and is typically avoided if possible. For this reason, many people suffer for years with symptoms that could be relieved if surgery were utilized.
There are various options available, including procedures to remove affected areas of the intestine as well as procedures to redirect stool to an opening where it is passed out of the body. However, the latter requires life changes that are difficult for some to deal with.
Strictureplasty is the most common surgical procedure performed for Crohns Disease. This is a procedure in which a narrowed area of the intestine is widened. Patchy, diseased areas narrow and are known as strictures. Because these areas of diseased bowel alternate with portions of normal bowel, cramps occur as the normal bowel tries to compensate for blockages that arise. It is not suggested to remove large segments of bowel...