What symptoms do you think the stricture is causing you? I have a stricture in the sigmoid colon. I have had three colonoscopies, two sigmoidoscopies, CT Scan, Endoscopy and small bowel follow through within the last 8 months. Do not know what a MRI would show. I am seriously considering surgery as the GI could not get past the stricture in February and I worry about it perforating. Have an appointment with colorectal surgeon on May 7th but in my case I am hoping it will only be removal of a few inches and resection.
I am fairly new to Crohn's but am thinking there has to be more going on than just a stricture for him to say that he has to remove the entire colon? Everybody is differnent but I would not like to have to stay home most of the time because of Crohn's.
Hoping you can get some answers and feel better.
That was my thinking too. My stools are skinny and formed. So far no pain which is one reason I questioned surgery but I do not like the fact that he cannot get past the stricture with even a pediatric scope. Doctors feel like my stricture has been there for quite some time and is made up of a lot of scar tissue. I have not heard that strictures themselves increase the risk of colon cancer. I have had multiple biopsies and last colonoscopy used blue dye and they have not found any sign of cancer or dysplasia.
I am lso wondering what medications you are on? They initially were going to try Remicade but now feel like that would not help my situation.
I have seen a colorectal surgeon since my last reply and yes forum member's replies help you ask questions. He did a sigmoidoscopy and did get past the stricture using a small scope. When it became uncomfortable he told me to lay on my back which helped. As far as my GI not getting past the stricture with my last colonsoscopy he said it is a flexible scope. In my case the colon is perfectly normal to the stricture, then 5-7cm of stricture which is inflamed then normal past that. He gave me my options and I wonder if doctors give you the worst case scenario of each? Leaving it does increase the risk of cancer but biopsies show no cancer now and it will have to be closely mointored anyway. Balloon dilation, but he will not do this while inflammation is present. Surgery, which would mean about 6 inches (I'm from Canada) of colon removed which is not a lot but went on to say if the resection leaks then you could end up with a stoma. He also said they can not tell how much is scar tissue and how much is inflammation just by the scope. He did show me the signs of inflammation on the screen. I also asked about perforating and he said they could perforate it during a procedure or surgery but my type of crohn's (without fistula's) is not the type that would perforate on its own.
Now I am waiting to hear from my GI and will probably go on some medication to try clear the inflammation.
Thanks tlw for the update. I have been wondering how things have been going with you.