Crohn's Disease is a medical condition that falls under the category of Inflammatory Bowel Disease. Crohn's disease triggers inflammation of the digestive tract resulting in ulcerations and sores, mostly affecting people between 17-30 years (people of other age groups can also be affected). The inflammatory disease is a chronic illness that gives rise to a host of complications such as frequent and chronic diarrhea, fever, rapid weight loss, abdominal pain, to name a few.
Unfortunately, there is no permanent treatment available for Crohn's Disease. However, effective remedies and treatments are available to reduce and manage the symptoms and complications associated with Crohn's Disease. Many people dealing with Crohn's Disease have benefitted immensely from surgery.

When surgery is recommended for Crohn's Disease?

A surgery becomes essential when the medicines and other nonsurgical treatments fail to control or manage the symptoms and complications triggered by Crohn's Disease, some of which include

Severe intestinal inflammation followed by uncontrolled bleeding
There is a bowel abscess or a perforation
Toxic Megacolon (a fatal condition whereby the large intestine swells up and also becomes dilated due to the inflammation that affects the intestinal walls)
Fistula
An intestinal blockage or narrowing of the intestinal
The surgery for a Crohn's Disease can be of different types depending on the part of the digestive tract affected.

Colectomy: This is mainly carried out in the case of the Crohn's Disease causing such extensive damage to the colon that it needs to be surgically removed. Following the removal of the colon, the small intestine may be connected to the rectum to ensure that the bowel movement is not affected.
Bowel Resection: A bowel resection is usually performed to treat a fistula or to get rid of the diseased and inflamed portion of the intestine to avoid further aggravation.
Proctocolectomy (Ileostomy): This surgery is performed to get rid of both the rectum and the colon affected extensively by Crohn's Disease. Here also, post removal of the organs, the surgeon connects the small intestine (end part or the ileum) to the stroma or a small opening in the abdomen. This rearrangement is done to ensure that the wastes from the small intestine get eliminated.
Stricturoplasty: This surgery goes a long way to open up the areas of the small intestine that have narrowed down due to Crohn's Disease.
Risks associated with the surgery
Every surgery comes with their share of side-effects and risks. In the case of Crohn's Disease, the surgeries can give rise to complications such as

Pain, swelling, bruising is common.
There may be Infection at the site of the incision.
Scarring at the incision site.
There can be a blockage of the bowel (temporary or short-term)
Surgical removal of the diseased part of the small intestine can trigger inadequate absorption of the vital nutrients (Short-Gut Syndrome).

Crohn's Disease - When Should You Go For Surgery?

One of the more severe illnesses included in the larger group of diseases known as inflammatory bowel disease (IBD), Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults.

Crohn's disease is subdivided into five types, each having its own set of symptoms:
1. Ileocolitis: The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. Gastroduodenal Crohn's disease: People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
3. Crohn's colitis: This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas,
4. Ileitis: This type affects the ileum and the symptoms are identical to those of ileocolitis.
5. Jejunoileitis: In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes
Despite the uncertainty as to the nature of the specific causes of Crohn's disease, there have been a few possible causes which have been identified. These include:
1. Immune system problems
2. Genetic disorders
3. Environmental factors
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:
1. Diarrhea: This can occur for about 10 to 20 times a day in more severe cases.
2. In rare cases, there may be blood in your stool.
3. In more intense cases, you may even develop a fever.
4. Cramping and intermittent belly pain.
5. Anemia, due to a reduction in iron levels caused by bloody stools.
6. Weight loss.
7. Erratic appearance of small tears in the anus, called anal fissures.

Causes, Types and Symptoms of Crohn's disease

Crohn s disease is a condition characterized by the inflammation of the digestive tract or gut. The inflammation caused by Crohn s disease can lead to severe diarrhoea, abdominal pain, fatigue, malnutrition and weight loss. It is also known as enteritis or ileitis. 

Crohn's disease is a form of Inflammatory Bowel Disease (IBD) out of the two main forms. The other form is known as Ulcerative Colitis.

Causes-
The accurate cause of Crohn's disease remains unknown even today. Formerly, stress and diet were made accountable, but now it is known that these factors aggravate it but are not responsible for causing Crohn's disease. Factors such as heredity and an abnormal reaction in the immune system play a role in the development of this disease.

A bacterium or virus may also play a role in its development. For instance, E. coli bacteria has been associated with Crohn's disease. Smoking can be another risk factor.

Symptoms
Crohn s Disease is known to be a very individual condition. It can effect any part of the gut, starting from the mouth and down to the anus. In the most common cases, however, the ileum (the lower part of the small intestine) or colon (part of the large intestine) is majorly affected.

Its symptoms may vary from person to person, and depend on the location of the disease in the gut. Crohn s disease develops gradually, but sometimes it comes suddenly, without any warning. Symptoms exhibited change over time, with intervals of good health when your body shows no symptoms (remission) and periods of bad health when your symptoms are more vigorous ( flare-ups  or relapses).

Some of the major symptoms of Crohn s disease when it is active are:

Abdominal pain
Diarrhoea
Fever
Tiredness
Fatigue
Anal Fistulae
Mouth ulcers
Loss of appetite and weight loss
Perirectal Abscesses
Anaemia
Patients suffering from severe Crohn's disease also may experience:

Inflammation of the bile ducts or liver
Inflammation of eyes, joints and skin
Delayed sexual development or growth, in children
Diagnosis
There is no specific diagnostic test known for Crohn s disease. Patients with fever, abdominal pain and tenderness, diarrhoea with blood, and anal diseases such as ulcers are sometimes diagnosed with Crohn s disease. Elevated white blood cell counts and sedimentation rates are mostly demonstrated in laboratory blood tests. Both of which suggest infection or inflammation in the digestive tract. Other blood tests may reveal low blood proteins, low red blood cell counts (anaemia), and low body minerals, reflecting the loss of these minerals due to chronic diarrhoea.

Conclusion
Although many effective medications are available in the market to control the symptoms of Crohn s disease, yet there is no cure developed for it. Surgery can extensively improve the quality of life in certain individuals, but the reappearance of this disease after surgery is familiar to many. A better insight into the role of environmental factors and genetics in causing this disease can help in improved treatments and prevention.

Crohn's Disease - What All Should You Know

Life can be tough when living with Crohn s disease as it is a chronic condition. Especially with the disease is marked by phases of relapse and remission, it requires a long-term management to keep the symptoms in check. Though the flare-ups can be typically contained using medications, some of the patients with severe symptoms or complications arising from the illness would require surgery.

Before we proceed with the surgical management of the disease, it is essential to understand what Crohn s disease is in case you are not aware of it. It is a chronic illness in which the intestine or the bowel have become inflamed or marked with ulcers and sores and is a part of disorders collectively known as inflammatory bowel disease(IBD).

When does Crohn s disease require surgery?
Typically, patients who are suffering from complications of Crohn s Disease may require surgery. This may include the formation of a scar that is causing the bowel to narrow down and leading to obstructions, extensive bleeding from the intestine, perforation in the bowel wall or the formation of fistula or abscess. The fistula may be formed in the connecting area between two body parts that do not meet. Also, a condition known as toxic megacolon where the large intestine or the colon becomes severely stretched out causing the toxins to spread all through the blood requires surgical intervention.

What are the different surgical options available for Crohn s disease?

The surgery chosen for Crohn s disease is dependent on various factors such as where the disease has affected, how severe the disease is and most importantly what complication will be treated by the surgery. Here are some of the types of surgeries done for treating Crohn s disease:

Strictureplasty: If the small intestine is affected by the disease, it may show up in the alternating areas of the bowel. Strictureplasty is a surgical way of widening the narrow area of the small intestine into a portion which has been affected by the disease. It doesn t involve removal of the intestine.
Resection: This is yet another surgical process where the affected part of the intestine is removed. It may be required when the stricture has become elongated. The removal of the diseased portion of the intestine may be able to offer some relief from the symptoms.
Colectomy: This surgery refers to the removal of the entire colon, and it is done when the disease is severe and extensive.
Proctocolectomy: When both rectum and colon are affected, both these parts are removed by a process called proctocolectomy. When this process becomes necessary, the waste materials drain into the bag which is emptied every day.
Since, the surgical intervention aims to manage the disease, your doctor would be able to recommend the most suitable option as per your condition.

Crohn's Disease - How Surgical Management Can Help?

One of the most severe illnesses included in the larger group of diseases, is known as inflammatory bowel disease (IBD). Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults. 

Types
Crohn's disease is subdivided into five types, each having its own set of symptoms:
1. Ileocolitis - The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. Gastroduodenal Crohn's disease - People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
3. Crohn's Colitis - This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas. 
4. Ileitis - This type of Crohn's disease affects the ileum and the symptoms are identical to those of ileocolitis.
5. Jejunoileitis - In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes
Although there are many theories about what causes Crohn's disease, none of them have been proven. However, there have been a few possible causes which have been identified. These include:
1. Immune system problems
2. Genetic disorders
3. Environmental factors, such as:
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:
1. Diarrhea: Diarrhea is a common problem for people with Crohn's disease and can occur for about 10 to 20 times a day in severe cases.
2. Blood in your stool: In rare cases, you might notice blood in the toilet bowl or darker blood mixed with your stool.
3. Fever and fatigue: In more intense cases, you may develop a fever. You may also feel tired or have low energy.
4. Abdominal pain and cramping: You may experience anything from slight discomfort to severe cramping and intermittent belly pain, including nausea and vomiting.
5. Anemia: Due to a reduction in iron level caused by bloody stools a person can turn anemic.
6. Reduced appetite and weight loss: Abdominal pain and cramping can affect both your appetite and your ability to digest food, which leads to severe weight loss.
7. Perianal disease: Erratic appearance of small tears in the anus are called anal fissures.

Causes, Types and Symptoms of Crohn's Disease

If you are finding certain symptoms like stomach pain, cramping, frequent diarrhoea, weight loss of your child or fever, then there are chances that he is suffering from crohn's disease. Crohn's disease is a bowel disease that causes swelling and inflammation along the digestive tract of your child. Mostly, it affects the end of the small intestine, but it can occur anywhere from the mouth to the anus.

Causes behind the disease
It is not common in children, but if your child is showing symptoms, then one of the following may be the reason:
1. Immunity system of the child,
2. Genetics, and
3. Environment.
The main cause behind such a disease can be any of the above. However, it has been found that if you have someone suffering from this disease in the family, then your child has more chances of getting affected by it.

Diagnosing crohn's disease
If you find the above-mentioned symptoms in your child, then it is better to take him or her to a doctor. Mostly, this disease is chronic in nature, meaning that it will continue even if it is treated. However, with proper treatment the symptoms can be reduced.
For diagnosing this disease the following tests may be done
1. Different lab tests that include a blood test for blood count and white blood cell count, and stool test to look for the bacteria that cause the inflammation and urine.
2. X-ray for detecting whether your child is suffering from crohn's disease and what is the exact position of it in the digestive tract.
3. If further required, they may do an endoscopy to find out the exact location and get more details.

Complications arising out of crohn's disease
If your child is suffering from this disease and is left without treatment for long, he or she may suffer from the following complications.
1. When the disease thickens, it may obstruct the intestinal walls by swelling of the intestine. Thus, the space from where the digestive matter passes becomes less and may lead to bowel obstruction.
2. Fissures may develop at the mucus membrane of the anus.
3. Fistulas or ulcers can occur as they tunnel through the affected area to the nearby tissues. All these are painful for your child to bear.
4. Your child cannot absorb the nutrients of the food like any other child and hence there are chances that they suffer from nutritional deficiencies.

With such problems that may not seem very huge in the beginning, your child may lose his appetite and forget about normal living. Thus, the moment you find any such symptoms, discuss them with your doctor.

What You Must Know About It if Your Child Suffers From Crohn's Disease

Don't wait any longer, manage your Crohn's Disease online with a Lybrate doctor today

Consult for Crohn's Disease - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES