Which surgical procedures may be performed for the management of Crohn disease?

Updated: Jul 26, 2019
  • Author: Leyla J Ghazi, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Unlike ulcerative colitis, Crohn disease has no surgical cure. Most patients with Crohn disease require surgical intervention during their lifetime.

Surgical management of the terminal ileum, ileocolon, and/or upper gastrointestinal tract may include the following [7] :

  • Resection of the affected bowel

  • Ileocolostomy or proximal loop ileostomy

  • Drainage of any septic foci with later definitive resection

  • Strictureplasty

  • Bypass

  • Endoscopic dilatation of symptomatic, accessible strictures

Surgical management of the colon may include the following [7] :

  • Subtotal or total colectomy with end ileostomy (laparoscopic or open approach)

  • Segmental or total colectomy with or without primary anastomosis

  • Total proctocolectomy or proctectomy with stoma creation

See Treatment and Medication for more detail.

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