I am getting close to the surgery option. I too asked why surgery was the last resort. There were a couple of reasons. The first, as noted in all the postings it that there is no guarantee of how long the remission would last. It could be a number of years, it could be only a number of months. The second, which was also mentioned, is that you only have a certain amount of intestine. So they don't want to remove any until they have to.
That being said, I am getting closer to surgery because the meds haven't worked well. I have developed high blood sugar and osteoporosis due to the prednisone. I feel lousy all the time, and have lost almost 50 pounds. I now have abscesses and at least one fistula. I am scheduled for another CT shortly. If the abscesses aren't gone, we are likely to do surgery. If they are gone, I will be trying Remicade. I have not done biologics yet. My guess, based on how I feel, is that the abscesses are not gone, and I will be doing surgery and then Remicade.
Good luck to you.
I do not post here often but I saw your question.......
My husband has had 3 surgeries all for obstructions. His last surgery was in 1993 and he has done very well. Not on any meds at this time as they were not using much except Prednisone in 1993 and he has not had a flair that needed meds up to this time. He does have a stricture and he will most likely be a surgical candidate again in the future. He has had Crohns for 33 years. His first surgery was for a ruptured small bowel.
Each person is different and knowledge is powerful when it comes to making decisions re your health care so gather all the info you can and then talk it through with your physician. Never be afraid to obtain a second opinion.
The members here are very wise and caring so stick with this forum. You will find much support here.