Posted on

What Percentage Of Crohn’s Patients Require Surgery?

Remissia_Crohns disease surgery

“I did not know much about the Crohn’s Disease, till it struck my father,” Ashley states. “But when I saw him suffering, I thought of asking the doctor if surgery is an option.” This is a thought many of you suffering from the IBD or Crohn’s Disease often reckon as an alternative. However, while many look out for the treatments of Crohn’s Disease, surgery is certainly not the only option.

The symptoms of Crohn’s Disease include diarrhea, exhaustion, abdominal cramps, blood in the stool, loss of appetite, weight loss, and even developing pain in the anal area. All these may grow in intensity, and so going for the treatment of CD is vital. Certain foods are found to be of great assistance in reducing the pain of Crohn’s Disease. There are also superfoods to bring in relief and reduce the excruciating pain. Doctors recommend antibiotics, corticosteroids, and more.

However, for many patients, the doctors might also recommend surgery of bowel resection. This brings us to the most important question related to the operation. Other surgeries include Colectomy, Proctocolectomy, etc.

Crohn’s Patients Requiring Surgery

60-80% of the patients suffering from Crohn’s Disease will require surgery and as many as 39% will even require repeated surgery. Only around 10 to 15% of the patients do not get a relapse soon after the operation. Many with existing rectal issues face more chances of relapse. Those suffering from inflammation relapse might also find disturbances with increased pain or even have the formation of abscess or fistula. Between 70 and 80%, patients will require surgery in ten years. Around 60% opt for surgery at least in 20 years of being diagnosed with Crohn’s Disease.

The surgery or operation is not a great solution for Crohn’s Disease. The reason is its ability to relapse. Reports claim that the chances of flares and relapse are as high as 50%. However, a point to note is that not every relapse will require surgery.

Many doctors recommend surgery along with medication too to avoid any further problems. Patients have to undergo lifestyle changes and even adopt healthy diets to get more satisfying relief from the surgeries. Without doing any of these, if you simply go for surgeries then the pain may not go away completely. You are aware that there is no complete cure for Crohn’s Disease. Thus, learning more about other ways is essential.

In spite of the fact that medical science has made drastic advancement in the field, patients still opt for surgical remedies. A key contributing factor could be the IBD Surgery costs that have not become high. In the last 20 years, the figures have been quite a shocker.

The direct medical costs were between $18,022 and $18,932 per patient per year in the USA. Those who had severe disease activity were in the top 25% tier and the average expense was around $60,582 per year. The people in the top 2% were at an average cost of $300,000 per year and more. This was as per the statistical data of 2008. Now, the medical costs have come down but does that mean the number of surgeries is higher?

It is true that surgery is an option of treatment in both Crohn’s Disease as well as Ulcerative Colitis. But the cost of Crohn’s Disease and Ulcerative Colitis varies because of a few factors.

In case of Ulcerative Colitis, the surgery will include removal of the colon and rectum, and in case of IBD or Crohn’s Disease, the doctor just removes or drains the abscess and the diseased part of the bowel. However, the patients suffering from Ulcerative Colitis (20%) will surely require an operation, whereas those suffering from IBD or Crohn’s will not require until absolutely necessary.

About 50% of the patients suffering from Crohn’s Disease will get remission or have it in the mild form within 5 years of surgery and medical treatment.

What Kind Of Surgery Do You Get For Crohn’s Disease?

You only go for Crohn’s disease surgery, when the doctor finds other complications rising due to it. As you are aware, Crohn’s Disease or IBD is chronic, and there is no permanent cure or treatment method. Thus, the doctor first prescribes medicines. Around 41% of the people spend a lot of time in remission than on the actual illness after diagnosis. There are further alternative medicines available too with an aim of soothing and healing the digestive tract. There are quite a few surgical methods and options that surgeons use for the IBD.

  • Bowel Resections: Intestinal or bowel resections is one of the most commonly done surgery for treating IBD. Only by eliminating the affected part of the bowel is enough.
  • Strictureplasty: If a patient has undergone many resections in the past and there is a short section with the recurring disease, then Strictureplasty is an option. In case of malignant nature of this colon portion, doctors recommend this method.
  • Anastomosis: When you are asking for IBD surgery costs, you will also come across this surgery option. The surgeons may recommend side to side or end to end or likewise methods of intestinal anastomosis. As an elective surgery, this method is safe for the patients.
  • Stoma Formation: There are other complications related to the placing of stoma, and certain prerequisites the CD in the patient has to fulfill. Only in that case, the patients will get relief from this method.

How Long Does Crohn’s Surgery Take?

Both the laparoscopic and open surgery options do not take a lot of time. However, you need to take care of yourself after the operation. The surgery will take place with general anesthesia and you need to stay in the hospital for 5-10 days. For you to fully recover from the operation, your body will need 4-6 weeks.

Cost of Crohn’s Disease Surgery

The financial burden for a patient in Crohn’s Disease treatment is high with costs relating to hospitalization, doctors’ fees, medicines, and even surgery being there. The IBD surgery costs are high and therefore, the overall treatment is expensive. It is costlier than the treatment of UC. Thus, it is vital you check if your insurance policy covers hospitalization and post-operative medication for the same too. All these will need to be taken care of while checking out the surgery options.

Summarizing Crohn’s Surgery

The overall impact that expenses have on a patient after diagnosing with the IBD or Crohn’s is quite felt. The impact is more on an individual and while surgery does not completely cure anyone, people often opt for it. It is better to understand that unless there are symptoms of hemorrhage, cancer, or fistula, the doctors do not normally recommend it right away. When the medicines fail to make a significant recovery, only then will the doctors suggest it.

Other methods are more direct in an approach like medications and even biologic comes to help. So seeking them out would be the primary options. Consumption of alcohol or smoking during the treatment of Crohn’s Disease does not help matters. So, one has to weigh all these factors before asking for Crohn’s disease surgery details.

Consider your insurance and healthcare policies prevalent in your region before opting for the same. Long-term hospitalization may affect the patients’ income and even cause issues relating to his post-retirement plans. Considering all these options, you may consult with your doctor and then opt for the most suitable one for yourself.