Inflammatory Bowel Disease
Inflammatory bowel disease (IBD) refers to two related but different diseases: ulcerative colitis and Crohn's disease. These diseases cause chronic inflammation of the intestinal tract, which lead to a variety of symptoms. The inflammation can also affect organs other than the intestines.
IBD is a lifelong disease with spans of time when it is active and other times when it is under control and inactive. IBD is very common, but it has been difficult to pinpoint how many people worldwide suffer from the disease because of a lack of standardized guidelines for making a diagnosis and also misdiagnosis. Some organizations estimate that as many as five million people worldwide are living with IBD.1,2
With ulcerative colitis, inflammation occurs only in the large intestine (colon) and is limited to the inner lining of the intestinal wall. The inflammation almost always starts in the lowest part of the colon (the rectum) and extends upwards in continuous pattern. The length of colon that is involved varies between patients. In some patients, the inflammation is only in the rectum, in others it extends part of the way up the colon, and in other patients it involves the entire colon. Because the inflammation is confined to the colon, ulcerative colitis is curable by surgical removal of the colon.
Crohn’s disease can involve any part of the intestinal tract from the mouth to the anal area. The most common areas are the lower part of the small intestine (the ileum) and the colon. Unlike ulcerative colitis, "skip" lesions can be found in Crohn's disease. This means there can be normal areas in between areas that are inflamed. Also, all layers of the intestinal wall can be affected and that may lead to particular complications seen only in Crohn's disease including:
- Fistula- an abnormal connection between the intestine and other organs
- Abscess- collection of pus
- Stricture- an area of narrowing that can lead to intestinal blockage
Because Crohn's disease usually comes back after surgery, it is generally not curable.
- “Inflammatory Bowel Disease” (organization of patient-led groups from around the world). Available from: http://ibdday.bvsalud.org/
- Centers for Disease Control and Prevention; Inflammatory Bowel Disease. Available from: http://www.cdc.gov/nccdphp/dach/ibd.htm
PN 1002263 Rev A 04/2013
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.
Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.
Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.
© 2015 Intuitive Surgical. All rights reserved. All product names are trademarks or registered trademarks of their respective holders.
Content provided by Intuitive Surgical.
Website Disclaimer for intutivesurgical.com and davincisurgery.com
This website does not provide medical advice. If you think you have a medical emergency, call your doctor or 911 immediately.
The materials on this website are for general educational information only. Information you read on this website cannot replace the relationship that you have with your healthcare professional. Intuitive Surgical does not practice medicine or provide medical services or advice and the information on this website should not be considered medical advice. You should always talk to your healthcare provider for diagnosis and treatment. Health information changes quickly. Therefore, it is always best to consult with your healthcare provider.
If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci Surgical System, consult a surgeon that has experience with the da Vinci Surgical System. A list of surgeons that have experience with the da Vinci Surgical System can be found in the Surgeon Locator.