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Related Experiment Videos

Inflammatory Bowel Disease After Age 60.

David A. Greenwald1, Lawrence J. Brandt

  • 1Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467, USA. dgreenwa@montefiore.org

Current Treatment Options in Gastroenterology
|May 15, 2003
PubMed
Summary

New-onset inflammatory bowel disease (IBD) in older adults presents challenges due to atypical symptoms and treatment risks. However, elderly patients generally achieve favorable outcomes with appropriate medical and surgical interventions.

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Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Internal Medicine

Background:

  • New-onset inflammatory bowel disease (IBD) occurs in the elderly, but conditions like infection, ischemia, or neoplasia can mimic IBD.
  • Clinical presentation of IBD in the elderly often resembles that in younger individuals, yet atypical manifestations are common, complicating diagnosis.

Purpose of the Study:

  • To review the challenges and outcomes of diagnosing and treating new-onset inflammatory bowel disease (IBD) in the elderly population.

Main Methods:

  • Literature review focusing on idiopathic inflammatory bowel disease (IBD) in elderly patients.
  • Analysis of diagnostic challenges, treatment modalities, and therapeutic outcomes in this demographic.

Main Results:

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  • While IBD mimics are more common in the elderly, diagnosis can be difficult due to atypical presentations.
  • Elderly patients face increased risks for adverse effects from medications and surgical complications.
  • Despite potential challenges, the elderly generally experience favorable outcomes with both medical and surgical IBD therapies.

    • Conclusions:

    • Treatment for inflammatory bowel disease (IBD) in the elderly should not be withheld due to concerns about complications.
    • Careful consideration of age-related factors is crucial for optimizing IBD management in older adults.