Crohn's Disease - abdominal surgery
Crohn’s disease causes inflammation of your bowel. The disease most often affects the end part of your small bowel, called the terminal ileum. However, it can affect any part of your bowel.
Crohn’s disease causes your bowel wall to thicken, which can block food from passing through.
The affected area of your bowel can also fail to absorb nutrients from your food.
Surgery is usually recommended if medication fails to improve your symptoms.
The operation is performed under a general anaesthetic and usually takes an hour to 90 minutes.
Your surgeon will make a cut on your abdomen and remove the diseased part of your small bowel.
They will often need to also remove a part of your large bowel. Your surgeon will usually join the ends of your bowel back together.
If they are unable to join the ends of your bowel, they will make a colostomy or ileostomy (your bowel opening onto your skin).
Why choose The London Clinic
Excellence in one place
We operate as teams of experts with world-class resources dedicated to maintaining the highest standards of medical care. You are surrounded by the latest treatments and advice with everything you need to get back to your best health.
Personal care, every time
Exceptional patient care is a way of life for us. Our nurses, clinicians and support teams are dedicated to the care of a very small number of patients, so have more time for you. They’ll be with you every step of the way, tailoring your care around you and giving the peace-of-mind that comes with knowing you’re in the best hands.
We work together as one to guide you through each step of your experience, with complexities unravelled and answers readily to hand. Your personal treatment plan will be laid out for you, with all the details taken care of so you can focus on you.
What's included in your package?
Choosing The London Clinic means your treatment plan will be laid out for you, with all the details taken care of so you can focus on you.
Your treatment package will include:
- Enhanced pre-admission assessment
- Your treatment with our complete care team at your fingertips
- Personalised aftercare and follow-up
We want you to be in control of your health. That’s why we also offer optional services such as comprehensive recovery packages and extra touches for you to choose from during your stay with us.
How to pay
- You can use private medical insurance (PMI) to access this treatment. We work with all major PMI providers in the UK and many internationally
- You can pay for yourself (self-pay)
- If you’re paying for yourself, we have finance options available with Chrysalis
Inflammation can be treated using medication such as mesalazine, steroids, azathioprine and infliximab. These have side effects and your doctor will discuss them with you.
Sometimes a narrowing of your bowel can be stretched by a procedure that uses a flexible telescope and a balloon dilator.
Your symptoms should improve. Your doctor may also be able to reduce or stop your medication.
- Infection of the surgical site (wound)
- Unsightly scarring of your skin
- Developing a hernia in the scar
- Blood clot in your leg
- Blood clot in your lung
- Chest infection
- Difficulty passing urine
Specific complications of this operation
- Damage to structures such as your bowel, bladder or blood vessels
- Developing a hernia near one of the cuts used to insert the ports
- Surgical emphysema
Surgery for crohn's disease complications
- Anastomotic leak
- Continued bowel paralysis
- Damage to other structures inside your abdomen
- Injury to your bowel
- Tissues can join together in an abnormal way
- Death. The risk is less the fitter you are
You should be able to go home after 3 to 10 days.
It may take up to 3 months for you to recover fully. Most people feel much better after the diseased part of their bowel has been removed.
Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.
Crohn’s disease sometimes comes back and affects another part of your bowel or a part near to where the join was made.