Is Crohn's Disease a Contraindication for Zeltiq?

Question

Hello, I am a 47 year old woman considering Zeltiq (CoolSculpting)for lower abdomen and love handles. I am very slim (5'6, 120 lbs) and very fit. I have Crohn's Disease (in full remission over 5 years)and am worried about all patients who have abdominal pain and cramping etc. post-procedure. Is this normal and is Crohn's Disease contraindicated? Thank you for your assistance.

William Groff, DO · Answer

Crohn's disease is not a contraindication to cryolipolysis. Most patients only experience some swelling, bruising and soreness after CoolSculpting. The applicator suctions the skin and fat, not muscles or organs. However, if your skin is extra sensitive or your abdomen or intestines have been weakened from disease and surgeries, you may not be able to tolerate the procedure. I'd advise you to work hand in hand with your gastroenterologist and board-certified dermatologist to be sure CoolSculpting is right for you.

Ron Shelton, MD · Answer

As the Zeltiq CoolSculpting is targeting the fat above the muscle wall of the abdomen, unless you have had surgery with weak scars on the skin's abdomen, or colostomies (openings from the intestines to the skin of the stomach), there shouldn't be a problem with having the Zeltiq. IF you are having pain though from the Crohns, and it hurts to just touch the stomach's skin because of referred pain, then the negative suction of the CoolSculpting could make the treatmetn unbearable for you. You should definitely have your physician who is planning to do the CoolSculpting treatment discuss it with your gastroenterologist to get clearance should there be any concern.

Tom J. Pousti, MD · Answer

Thank you for your question.

	There hasn't been any documentation that shows Crohne's Disease to be a contraindication to having CoolSculpting.  The abdominal pain and possible cramping after the procedure are limited to the area treated and are self limiting.  I would recommend that your doctor communicate with your GI doctor to make sure all is well prior to having the CoolSculpting.

	Best Wishes!

Steven Hacker, MD · Answer

Currently there is no contraindication between Chrohn's disease and Coolsculpting. The abdominal pain is a neuropathic pain that really is localized to the fat, dermis and potentially epidermis versus no affect on the intestines. However, before treating I would advise that you discuss with your physician further.

Is Crohn's Disease a Contraindication for Zeltiq?

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