Q If Crohn's gets worse, will I eventually need surgery? Do I have to live with it forever?
A It is reported that about 50–70% undergo at least one surgery within 10–20 years of diagnosis, but early diagnosis and active treatment can lower the likelihood of surgery. Even after surgical resection, a chance of relapse remains, so long-term management is essential.
Detailed Answer
Crohn's disease makes surgery unavoidable when complications such as stricture (bowel narrowing), perforation, fistula, or abscess occur. However, since the introduction of biologics, surgery rates have fallen compared to the past, and starting treatment early to maintain remission can reduce the very occurrence of complications. Crohn's is a chronic disease with no cure, but many patients maintain their work and daily life as a "well-managed chronic disease."
Korean Medicine Clinic Perspective
To avoid surgery, the key is to consistently suppress inflammation and prevent the accumulation of mucosal damage. Korean medicine treatment supports intestinal mucosal regeneration and immune stabilization, contributing to slowing the progression of complications. It can also be used complementarily to prevent relapse after surgery.
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