I read about your option of surgery. The problem is when you remove a part of the intestines the next part will produce the same problem. If the area is so damaged that cannot be working any more than you will need to remove it. They were going to remove part of my intestines in 1960 do to severe pain that kept me in bed over 3 months. I was 15 years old than and I am 72 now. No one have touched my intestines except for raptured appendix where I asked for a surgeon since 12 days have gone by before we realized what the problem was. I will say no to surgery unless there is no other solution. When Dr Crohn's wrote his theory said the illness impacts the liver but he didn't conclude that a clean liver impacts the disease. I was very fortunate to have learned that in 1960 by being treated by an Italian Doctor who cleaned my liver and I was brand new for 3 years. In my interpretation there are two elements to Crohn's first stress second diet. We don't know how to eat right since we don't understand the liver who is an intelligent organ. Also stress can be minimized with exercise the best medicine for it. As I am learning the liver don't like the 3 whites: flour, sugar, and salt. Every one knows that except me. I have learned it by experimenting with inflammation pain. I have learned the liver loves vegetables specially raw vegetables. By removing sugar, carbohydrates, flour, and any processed foods and drinks I achieved the following: I put Crohn's in remission, I reversed almost type 2 diabetes, reversed triglycerides problem, I stopped over 50 years of acid stomach and reflux GERD, removed lower back pain and other joint pains and neck pains, and regained my memory. All of these just by understanding the liver. The liver talks to us but we don't listen. I used Liver Support Factors pills and it helped but the diet was the main solution. I never knew how damaging bread was but now I understand it. The internet is full of this information but no one is reading it or have problems believing it. I can now understand and prove what people know since I have verified. To make a GI doctor understand this concept is impossible. Also to learn how to eat right is not an easy task. My best wishes to you.