What is the most common complication of Crohn disease and when is surgical intervention required?

Updated: Jul 26, 2019
  • Author: Leyla J Ghazi, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

The most common complication of Crohn disease, occurring in 30-50% of patients, is small bowel obstruction. Typically, it is due to intestinal strictures from repeated bouts of inflammation and subsequent fibrosis. For a partial or complete obstruction refractory to nonsurgical management, surgical intervention is required. Surgical options include resection of the strictured bowel and strictureplasty. For long (> 12 cm) strictures or multiple strictures in close proximity, surgical resection with primary anastomosis is often required.


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