I just had a colonoscopy that showed that Stelara is not working for me. This is only a year since Remade stopped working for me after working for only a couple of years. My doctor mentioned that we should also consider surgery at this point since biologics don't seem to be working for me. He said that have a stricture about 10cm above the Terminal Ileum and that the ulcerations last about 30cm. Everything else he saw above and below that are completely fine. He thought this made me a good candidate to try surgery to just take out that 30cm since there's no activity anywhere else and I'm (relatively) young (53). I am curious if anyone here would be willing to share their experience if they have had anything similar. Did the Crohn's spread to other areas after surgery? What sort of long-term complications did you experience on your daily life after having small part of terminal ileum removed? Any questions I should be sure to ask Dr as we discuss options at my next appointment? Struggling with making this big decision. I am certainly tired of the constant pain and constant failure of drugs to help and don't want to spend years trying more only to have stricture eventually require emergency surgery. I also don't want to start the surgery cycle by cutting it out and then having it just reappear somewhere else. Thank you!