I've often wondered if I have been so fortunate w/a 20 year remission of disease activity after my resection was due to the fact that I spent 6 weeks in hospital on IVs w/a nasogastral tube prior to my surgery. I wish I knew what meds were being pushed thru those IVs back then but I do know I was NPO all that while.
I do know that when and if I run into that kind of trouble again I would insist on a couple of weeks of NPO/TPN before another resection on the theory that the complete bowel rest and the IVs meds pounding the disease might well make for a better surgical recovery and outcome. I would think that no disease activity at time of surgery would make for a better outcome. Just my uneducated theory.
That was certainly my GI's thought behind my plan. I could have had the resection earlier this year but GI wanted to get me healthier & have as little of active disease as possible. A blast of steroids for two months. Humira for 2 months (1st month of H was 2nd month of P)
My GI stopped by yesterday to tell me that the strictured areas removed had very little active disease. She and surgeon believes this will go long way to maintaining remission.
I also had option of delaying surgery until it became more of an urgent/emergency issue, but she advised against waiting for my next flare because the surgery and recovery would have been much more difficult.
Crohn's Disease for 22 years
Diagnosed in Feb 1989 at age 14
Resection surgery schedule for first week in June
Current meds: Humira, Pentasa, 6MP, Cipro
Also take: monthly B12 injection, Calcium, Multivitamin