✦ BOWEL SURGERY · OPEN / LAPAROSCOPIC

Intestinal Resections

Q: Will I need a stoma after Crohn's bowel resection?

In most planned Crohn's resections, primary anastomosis is performed avoiding a stoma. A temporary stoma may be needed for emergency perforation.

Q: How many resections can a Crohn's patient have?

There is no strict limit, but bowel preservation through stricturoplasty is essential to prevent short bowel syndrome.

Q: Will Crohn's recur after bowel resection?

Recurrence at the anastomotic site is possible. Post-operative biologic or immunomodulator therapy significantly reduces this risk.

Surgical removal of diseased bowel segments for Crohn's disease — bowel-preserving principles throughout.

120–240 Min TREATMENT DURATION

5–7 Days CARE SETTING

Open / Laparoscopic APPROACH

4–6 Weeks RECOVERY TIMELINE

What is Intestinal Resections?

Crohn's disease can cause transmural inflammation leading to obstruction, fistula, abscess, or perforation requiring surgery. Intestinal resection removes the diseased segment, with reconnection of healthy bowel ends (anastomosis), restoring the digestive tract. Dr. Tagore Mohan Grandhi applies bowel-preserving principles, using stricturoplasty where possible and reserving resection for complications. Laparoscopic access is used wherever feasible for faster recovery.

Suitable for Crohn's disease complicated by bowel obstruction, fistula, abscess, perforation, or disease refractory to all available medical management, including biologics.

How the Procedure Works

Pre-operative Optimisation

Nutritional deficiencies corrected. CT or MRI enterography defines strictures, fistulas, and abscess locations. Steroids weaned if possible.

Laparoscopic Access

3–5 small keyhole incisions. Diseased segment identified and mobilised, assessing bowel viability and mesenteric vessel anatomy.

Bowel Resection

Diseased segment excised with adequate margins. Careful mesenteric haemostasis. Stricturoplasty performed for short strictures to preserve bowel length.

Primary Anastomosis

Healthy bowel ends reconnected by stapled or hand-sewn anastomosis. A stoma is avoided in the majority of planned cases.

Post-operative Recovery

Oral fluids on day two, solid diet on days three to four. Biologic therapy commenced post-operatively to reduce anastomotic recurrence.

Outcomes

120–240 MinTREATMENT DURATION

5–7 DaysCARE SETTING

Open / LaparoscopicAPPROACH

4–6 WeeksRECOVERY TIMELINE

Who Needs This Treatment?

→Bowel-preserving — stricturoplasty preferred over resection for short strictures
→Laparoscopic approach — smaller incisions, faster recovery, lower adhesion rates
→Primary anastomosis avoids a stoma in the majority of planned cases
→Pre-operative nutritional optimisation reduces post-operative complications

Crohn's surgery requires meticulous planning and a bowel-preserving philosophy. Every centimetre of healthy bowel preserved is a long-term benefit. We work with gastroenterologists for the best outcomes.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Will I need a stoma after Crohn's bowel resection?+

How many resections can a Crohn's patient have?+

Will Crohn's recur after bowel resection?+

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