Crohn's Disease Treatment & Surgery | Dr. Ashok Kumar

Crohn's Disease Management & Surgery

Expert Care by Dr. Ashok Kumar, MCh SGPGI

Call 05226664444Book Appointment

What is Crohn's Disease?

Crohn's disease is a chronic inflammatory bowel disease causing inflammation throughout the gastrointestinal tract from mouth to anus. Most commonly affects the terminal ileum and colon. Can cause severe complications requiring surgical intervention.

Dr. Ashok Kumar provides comprehensive surgical management with bowel-sparing approaches, focusing on maintaining adequate bowel function while addressing disease complications and improving quality of life.

Symptoms & Complications

Common Symptoms

  • Chronic diarrhea
  • Abdominal pain and cramping
  • Weight loss
  • Fever
  • Perianal disease (fistulas, abscesses)
  • Blood in stool

Surgical Indications

  • Obstruction refractory to medical therapy
  • Fistulas and abscesses
  • Perforation
  • Toxic megacolon
  • Severe bleeding
  • Failed medical management

Surgical Options

Segmental Resection

Removal of diseased bowel segment with primary anastomosis. Dr. Ashok Kumar preserves maximum bowel length to prevent short bowel syndrome. Laparoscopic approach used when feasible.

Stricturoplasty

For fibrostenosing disease, widens stenotic segments preserving bowel. Bowel-sparing approach ideal for multiple strictures.

Fistula Management

Complex perianal Crohn's requires specialized surgical expertise. Dr. Ashok Kumar's extensive experience ensures optimal outcomes.

Dr. Ashok Kumar's Expertise:

Extensive IBD surgical training. Bowel-sparing philosophy to preserve intestinal length. Expert in complex Crohn's surgery including fistula management. 25+ years experience.

Recovery & Outcomes

Hospital stay 4-7 days depending on procedure complexity. Return to normal activities 4-6 weeks. Many patients achieve long-term remission after successful surgery. Long-term surveillance for recurrence essential.

Why Charak Hospital?

  • Experienced Crohn's surgery team
  • Bowel-sparing surgical philosophy
  • Multidisciplinary IBD management
  • Advanced laparoscopic facilities
  • Comprehensive post-operative follow-up

Contact Information

Phone: 05226664444

Book Appointment

Dr. Ashok Kumar

Surgical Gastroenterologist

  • MCh - SGPGI
  • FRCS
  • FACS
  • 25+ Years
Profile

What is Crohn's disease?

Crohn's disease is a long-term inflammatory bowel disease (IBD) that can affect any part of the digestive tract from the mouth to the anus, most often the end of the small intestine and the colon. The inflammation can involve the full thickness of the bowel wall and often appears in patches with normal bowel in between.

The exact cause is not known. It is thought to result from an abnormal immune response in people with a genetic tendency, influenced by environmental factors. Smoking increases the risk and severity.

Symptoms

  • Abdominal pain and cramps, often in the lower right side
  • Diarrhoea, sometimes with blood or mucus
  • Weight loss and tiredness
  • Fever during flare-ups
  • Anal problems such as fistulas, abscesses or fissures
  • Joint pain, skin rashes or eye inflammation in some people

Symptoms usually come and go, with periods of flare-up and remission.

Crohn's disease or tuberculosis?

In India, intestinal tuberculosis can look very similar to Crohn's disease on scans and colonoscopy. Telling them apart is important because the treatments are very different. Your doctor may advise biopsies, tests for tuberculosis and sometimes a trial of treatment before confirming the diagnosis.

Diagnosis

Colonoscopy with biopsies, blood and stool tests, and imaging such as CT or MR enterography help confirm the diagnosis, show which parts of the bowel are affected and identify complications such as narrowing (strictures), fistulas or abscesses.

Treatment

  1. Medicines are the main treatment: anti-inflammatory drugs, short courses of steroids for flare-ups, immunosuppressants and biological therapies to keep the disease in remission.
  2. Nutrition support, sometimes including special liquid diets.
  3. Stopping smoking, which clearly improves the course of the disease.
  4. Surgery when medicines are not enough or complications develop: removing a narrowed or severely diseased segment (resection), widening a stricture (strictureplasty), draining abscesses and treating anal fistulas. Surgery aims to preserve as much bowel as possible.

Living with Crohn's disease

Crohn's disease is a lifelong condition, but most people lead active lives with regular follow-up and treatment. Working closely with a gastroenterologist and surgeon allows medicines and surgery to be used at the right time.

Frequently asked questions

Can Crohn's disease be cured?

Currently there is no permanent cure, but treatment can control inflammation and keep the disease in remission for long periods.

Will I need surgery?

Many people with Crohn's disease need surgery at some point, usually for complications. Surgery treats the affected segment but does not cure the disease elsewhere.

Is Crohn's disease the same as ulcerative colitis?

Both are inflammatory bowel diseases. Ulcerative colitis affects only the lining of the colon and rectum, while Crohn's disease can affect any part of the gut and the full thickness of the bowel wall.

Related pages

Book a consultation: call 0522-666-4444 or use the request call back form on this page. In an emergency, come straight to the 24/7 emergency department at Charak Hospital, Hardoi Road, Dubagga, Lucknow.