I would be curious as to what the inflammation is? Could it be scar tissue, in which case your only real option for relief is surgery. I'm curious if the Cimzia, or any of the other medications, has done anything to improve your condition.
I had 3 resections. My middle one was from scar tissue. I spent several weeks in the hospital on TPN trying to avoid surgery and trying to see if the inflammation could be treated with high doses of IV steroids, but after awhile it was clear that it was scar tissue.
Surgery can give you quality of life back, but there is a cost. You can't always eat everything you want. You will have to deal with some increase in bathroom trips and each time you have surgery there is less intestine the next time around, eventually you could end up with short bowel syndrome. Just some of the reasons doctors like to avoid surgery.
I have had Remicade, but not on the dosing schedule that is currently recommended, so I can't really speak to that option. I can say that after my last resection, I have had a long stretch of time with out much trouble. I do have my periods of time when I don't feel my best. But overall, my disease finally seems to be settled. It did take a long time and 3 resections, but I attribute that to the fact that I was undiagnosed for 10 years and things were way out of control for years.
I will say that for me, surgery gave me back the option of being a fully functioning mother. I had young children and was finally able to participate in their lives and do what I wanted to do again. It isn't the right option for everyone, and you need to make sure that you are doing what is right for you. If your doctor isn't listening to everything that you are saying, it might be time to consult not just a surgeon, but also a second opinion GI.
CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!
Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....