Inflammatory bowel disease in older patients

D. E. Fleischer, I. S. Grimm, L. S. Friedman

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

The onset of UC and CD may occur later in life. Although making the diagnosis of IBD in the elderly can be challenging, the clinical course, natural history, and response to treatment are similar for older and younger patients. In fact, both UC and CD tend to be less extensive in older patients, a feature that may contribute to the overall favorable prognosis for elderly patients with IBD. Overall mortality rates for both UC and CD appear to be similar to that of the general population except for those few patients that present with severe initial disease. Typical features of IBD in the elderly are summarized in Table 3. The differential diagnosis of IBD in the elderly includes infectious causes of enterocolitis, ischemic colitis, and diverticular disease as well as several other mimics of IBD. Awareness of the possibility of late-onset disease and the unique manifestations of disease in the elderly contributes to accurate diagnosis and timely treatment.

Original languageEnglish (US)
Pages (from-to)1303-1319
Number of pages17
JournalMedical Clinics of North America
Volume78
Issue number6
StatePublished - 1994
Externally publishedYes

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Inflammatory Bowel Diseases
Ischemic Colitis
Enterocolitis
Natural History
Differential Diagnosis
Mortality
Therapeutics
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Fleischer, D. E., Grimm, I. S., & Friedman, L. S. (1994). Inflammatory bowel disease in older patients. Medical Clinics of North America, 78(6), 1303-1319.

Inflammatory bowel disease in older patients. / Fleischer, D. E.; Grimm, I. S.; Friedman, L. S.

In: Medical Clinics of North America, Vol. 78, No. 6, 1994, p. 1303-1319.

Research output: Contribution to journalArticle

Fleischer, DE, Grimm, IS & Friedman, LS 1994, 'Inflammatory bowel disease in older patients', Medical Clinics of North America, vol. 78, no. 6, pp. 1303-1319.
Fleischer DE, Grimm IS, Friedman LS. Inflammatory bowel disease in older patients. Medical Clinics of North America. 1994;78(6):1303-1319.
Fleischer, D. E. ; Grimm, I. S. ; Friedman, L. S. / Inflammatory bowel disease in older patients. In: Medical Clinics of North America. 1994 ; Vol. 78, No. 6. pp. 1303-1319.
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