I just want to jump in here in regards to treatment options. My daughter who is now 19 was diagnosed at age 12 and has been on every medication out there. Remicade, Humira, Cimzia, Pred, Methotrexate, 6mp, and prob every other med you can name. Anyway, when she was 17, during a colonoscopy, the doctor perforated her colon and she needed an emergency ileostomy. They didn't take out any of her colon or anything thank goodness, and she lived with the ileostomy for two years and it was not easy, but my daughter is a very strong girl and is very mature for her age because of having Crohn's disease. I wanted to to tell you that the medication that has put her in remission, and has allowed her to have her ileostomy reversed this summer was Stelara. Our insurance covered it and it has been a Godsend for my daughter. If you read the other threads on this board about Stelara you will read about it working for a lot of others also. I have never heard of anyone being on Simponi so was confused as to why your doctor would put her on this rather than Stelara with all of those antibiotics. I wanted to share this with you so you can hopefully avoid your daughter having surgery. I assure you it is very difficult at that age, so try everything you can to avoid having her colon removed if you can. Please let me know if you have any questions, as I would be happy to help!