Which of the following is NOT a Crohn's disease surgical option?

• A. Proctocolectomy
• B. Segmental bowel resection
• C. Strictureplasty
• D. Abdominoperineal resection

Answer: (D)

Crohn's disease surgery focuses on removing diseased segments or relieving strictures while preserving bowel length and continence whenever possible. Segmental bowel resection is used when a discrete diseased segment can be removed with healthy margins. Strictureplasty widens a narrowed area without sacrificing length, helping prevent short-bowel complications. Proctocolectomy may be needed when disease extensively involves the colon and rectum. Abdominoperineal resection, however, removes the rectum and anal sphincter, leaving a permanent stoma; this radical approach is not typical for Crohn's because the goal is to preserve continence and bowel length rather than removing the rectum and anus. Therefore, abdominoperineal resection is not a standard Crohn's surgery option.