✦ END BOWEL REMOVAL

Ileocecal Resection

Q: Will Crohn's disease come back after ileocecal resection?

Crohn's disease can recur at the anastomotic site or elsewhere in the bowel. Post-operative biological therapy (infliximab, adalimumab) significantly reduces recurrence risk. Dr. Samhitha collaborates with gastroenterologists for post-operative medical management.

Q: What is the difference between Crohn's Disease and Ulcerative Colitis?

Ulcerative Colitis affects only the colon and rectum continuously. Crohn's Disease can affect any part of the GI tract in a patchy distribution, involves the full thickness of the bowel wall, and causes strictures, fistulas, and abscesses.

Q: Is ileocecal resection for Crohn's available in Hyderabad?

Yes - Dr. Samhitha Reddy performs laparoscopic ileocecal resection at Lux Hospitals, Hyderabad as part of the best IBD hospital in Hyderabad programme.

Q: Will I need a stoma after ileocecal resection?

In most elective ileocecal resection cases, a primary anastomosis is created without a stoma. A stoma may be necessary if the patient is severely malnourished, on high-dose steroids, or if the anastomosis carries a high leak risk.

Surgical removal of the diseased terminal ileum and caecum - the most common and effective surgical treatment for Crohn's disease of the terminal ileum, performed laparoscopically with a bowel-sparing approach.

Most Common CROHN'S SURGERY

Laparoscopic PREFERRED

Bowel-Sparing APPROACH

1-3 Days HOSPITAL STAY

What is Ileocecal Resection?

Ileocecal Resection involves surgical removal of the diseased terminal ileum and caecum - the most common site of Crohn's disease - with an ileocolic anastomosis restoring bowel continuity. The procedure is performed laparoscopically (keyhole) in most cases, with 3-4 small incisions and a rapid recovery. Dr. Samhitha Reddy performs ileocecal resection at Lux Hospitals, Hyderabad as part of the IBD treatment in Hyderabad programme - using a bowel-sparing approach to preserve as much small intestine as possible. Surgery is performed for Crohn's complications including obstruction, abscess formation, fistula, and disease refractory to maximised medical therapy.

Ileocecal resection is indicated for Crohn's disease of the terminal ileum causing obstruction, abscess, fistula, or refractory disease. Medical therapy (biologics, immunomodulators) is maximised before surgery. Post-operative medical therapy reduces recurrence risk.

How the Procedure Works

Pre-operative Assessment

CT scan, MRI, colonoscopy, and nutritional assessment confirm disease extent, exclude internal abscesses, and optimise the patient's nutritional status before surgery.

Laparoscopic Access

3-4 small laparoscopic port incisions. The terminal ileum and caecum are identified and the diseased segment assessed.

Mesenteric Division

The mesentery supplying the diseased terminal ileum and caecum is divided systematically, preserving all uninvolved bowel and blood supply.

Bowel Resection

The terminal ileum is divided at the proximal healthy margin and the caecum at the distal healthy margin. The specimen is removed through a small extraction incision.

Ileocolic Anastomosis

A wide-lumen, side-to-side stapled ileocolic anastomosis is created between the healthy ileum and the ascending colon - associated with lower anastomotic recurrence rates.

Outcomes

Most CommonCROHN'S SURGERY

LaparoscopicPREFERRED

Bowel-SparingAPPROACH

1-3 DaysHOSPITAL STAY

Who Needs This Treatment?

→Addresses the most common site of Crohn's disease in a single bowel-sparing procedure
→Laparoscopic approach - small incisions, 1-3 day hospital stay
→Side-to-side anastomosis associated with lower post-operative Crohn's recurrence
→Resolves obstruction, abscess, or fistula definitively when medical therapy has failed
→Rapid post-operative recovery - return to normal activity in 2-3 weeks
→Available at Lux Hospitals, Hyderabad as part of the comprehensive IBD surgical programme

Ileocecal resection for Crohn's disease is a genuinely satisfying operation when the timing is right. The relief on a patient's face when they are eating normally again - no more obstruction, no more pain - after years of managing a stricturing terminal ileum is a powerful reminder of what surgery can offer.

— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon

Common Questions

Frequently Asked

Will Crohn's disease come back after ileocecal resection?+

What is the difference between Crohn's Disease and Ulcerative Colitis?+

Is ileocecal resection for Crohn's available in Hyderabad?+

Will I need a stoma after ileocecal resection?+

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