Surgery for Crohn's disease:

 

Surgery for Crohn's disease:

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Surgery is just one of many possible treatments for Crohn's disease. But it's a common one. Up to three-quarters of people with Crohn's disease will eventually need surgery, even if they are on medication and eating right.

 

But you will feel better and be able to live a more normal life. Reasons to Consider Surgery

Surgery may be needed to treat Crohn's disease for many reasons.

 

Some problems caused by illness can be dangerous. This can occur when medications that control symptoms do not work.

Surgery may be needed if your bowel:

Narrowed or clogged by scar tissue

Too much bleeding

Hole in his wall

Have a fistula, which is a passage between two organs that are not normally Connected

Infected

Become highly inflamed as part of a serious problem called toxic megacolon

Surgery may be an option if Crohn's disease makes everyday life difficult or if side effects of medications are frequent. If you have severe Crohn's disease symptoms and are at high risk of developing colon cancer, your doctor may recommend surgery.

These possibilities are increased in patients with Crohn's disease:

Types of surgery for Crohn's

There is no one-size-fits-all surgery to treat Crohn's disease.

The type you have depends on:

 

Why You Need Surgery?

 

Some common types of Crohn's surgery are:

 

Constriction surgery:

It widens the narrow area of ​​the intestine that causes constipation. Surgeons do not remove any part of the intestine. Fistula removal:

Closes, opens, removes, or drains fistulas that do not heal with drugs. Most fistulas in Crohn's patients form between her two different parts of the intestine. Another part of the body like intestines and bladder. Or your gut and skin. Which surgery is needed depends on the location of the fistula.

Colectomy:

In severe cases, the colon is removed, but the rectum is left.

Proctectomy:

If both the colon and rectum (collectively called the colon) are severely damaged, they are removed. Complete ileostomy:

In this type of rectal resection, the end of the small intestine is rerouted through a small hole in the abdomen called a stoma. Waste is sent to the ostomy bag outside this hole.

Bowel resection:

A portion of the small or large intestine damaged by Crohn's disease is removed and the two healthy ends are connected.

Abscess drainage:

The surgeon makes an incision around the abdomen, pelvis, or anus and inserts a tube to drain the pus.

Ileostomy:

It redirects stool temporarily or permanently through a hole in the abdomen called a stoma. You may have an ileostomy to allow the bowel to heal after other surgery, to reduce inflammation, or to have another surgery on the rectum or anus. The stool is placed in an ostomy bag, or a special bag made by the surgeon to connect to the anus.

Risks and benefits:

As with surgery for any condition, surgery for Crohn's disease has its pros and cons.

 

A scar where the bowel is twisted or narrowed

Intestinal obstruction that prevents waste from moving through the intestine

Vitamin B12 deficiency when a surgeon removes the part of the intestine that absorbs the vitamin

If the opening changes and makes it difficult to put the ostomy bag on.

Surgery does not guarantee that Crohn's disease will go away.

Approximately 30% of those who have surgery will recur within 3 years and 60% within 10 years.

 

 

Depending on the type of surgery, you can expect less pain and fewer symptoms such as diarrhea, vomiting, and fatigue. You may be able to reduce the number of medications you take or stop medications that have many side effects. You may also be able to eat more types of foods and gain weight more easily.

 

Recovery from surgery:

Immediately after surgery for Crohn's disease, prescription drugs can be taken to control pain and reduce the risk of infection. Depending on the type of surgery, the hospital stay is about a week.

 

Even after recovery, it is necessary to see a surgeon and a gastroenterologist. They track problems resulting from surgery and keep an eye on Crohn's disease. Depending on the type of surgery, you may need to change what you eat, either now or permanently.