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Inflammatory Bowel Disease (IBD) Surgery

Inflammatory Bowel Disease includes Crohn’s disease and ulcerative colitis — long-term conditions that can cause ongoing inflammation, pain, and changes in bowel habits. While many people manage their symptoms with medication, some will need surgery as part of their treatment plan.

Thomas provides modern, minimally invasive surgical care for IBD patients across the Hutt Valley, Wairarapa, and Kāpiti Coast, drawing on extensive experience from high-volume centres in New Zealand, the UK, and Australia. His focus is on safe, evidence-based surgery and clear communication throughout the process.

When IBD surgery may be needed

Surgery may be recommended for people who experience:

  • Ongoing inflammation despite medication

  • Severe flare-ups or complications

  • Narrowing (strictures) or blockages in the bowel

  • Fistulas or abscesses

  • Disease that affects quality of life

  • Areas of bowel that are damaged or not functioning well

The aim of surgery is to reduce symptoms, prevent complications, and improve day-to-day comfort.

What IBD surgery involves

IBD surgery varies depending on whether the condition is Crohn’s disease or ulcerative colitis. Procedures may include removing affected sections of bowel, treating fistulas or strictures, or addressing complications caused by long-term inflammation.

Wherever possible, Thomas uses minimally invasive laparoscopic techniques, which often allow for:

  • Smaller incisions

  • Less pain after surgery

  • Shorter hospital stays

  • Faster recovery

  • Fewer wound-related complications

Each procedure is tailored to the individual, their symptoms, and the severity of their disease.

Types of IBD treated

Thomas provides surgical care for:

  • Crohn’s disease

  • Ulcerative colitis

  • Fistulas and abscesses

  • Strictures and bowel obstructions

  • Severe inflammation requiring resection

He works closely with gastroenterologists and other specialists to ensure joined-up care before and after surgery.

Recovery and ongoing care

IBD care doesn’t end after the operation. Thomas provides:

  • Follow-up appointments

  • Review of pathology results

  • Ongoing symptom monitoring

  • Advice on managing bowel function

  • Guidance on long-term IBD management

  • Referral back to gastroenterology for medical therapy where needed

This coordinated approach helps reduce the risk of recurrence and supports long-term wellbeing.

FAQs

Will surgery cure my IBD?

Surgery can relieve symptoms and improve quality of life, but IBD is a long-term condition. Crohn’s disease can recur, while ulcerative colitis surgery may be curative depending on the operation.

Is laparoscopic surgery suitable for IBD?

Many IBD procedures can be performed laparoscopically. Thomas will explain the safest and most appropriate approach for your condition.

How long is recovery?

Recovery depends on the type of surgery and the severity of your symptoms. Most patients stay in hospital for a few days and continue recovery at home with follow-up support.

Do I still need medication after surgery?

Some patients will continue medical therapy, especially those with Crohn’s disease. Thomas works with gastroenterologists to plan long-term care.

When should I consider surgery?

If symptoms impact daily life or don’t improve with medication, surgical assessment may help determine the best next step.

- PATIENT INFORMATION & RESOURCES

Supporting you at every stage

From the first consultation through to surgery and recovery, Thomas and his team ensure you have clear information and support. Many patients value having access to practical patient information sheets and resources. These are available on the website to help you prepare and feel confident.

Articles & insights

Every few months, Dr Thomas Morgan shares short articles on topics such as bowel cancer awareness, hernia repair, gallstones, and colorectal health. These are designed to give patients clear, reliable information without the medical jargon.