Surgical intervention is required for CD for urgent and elective reasons. Surgical emergencies such as bleeding, perforation and obstruction can be life threatening whilst elective situations are required for failure of medical therapy, fistulous disease and strictures. The Cleveland clinic foundation followed 615 patients from the time of diagnosis for a mean of 13 years and found that 438 (71%) required intestinal surgery . In this study, those with ileocolonic disease had a cumulative probability of resection of 91.5% after a mean of 13 years compared to 66% of patients with CD limited to the small intestine and 58% of patients with only colonic disease .
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