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Related Concept Videos

Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Inflammatory Bowel Disease IV: Pharmacological Management01:29

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Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Chronic Salmonella Infection Induced Intestinal Fibrosis
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Elderly patients and inflammatory bowel disease.

Danielle Nimmons1, Jimmy K Limdi1

  • 1Danielle Nimmons, Jimmy K Limdi, Inflammatory Bowel Diseases Section, The Pennine Acute Hospitals NHS Trust, Manchester BL97TD, United Kingdom.

World Journal of Gastrointestinal Pharmacology and Therapeutics
|February 9, 2016
PubMed
Summary

The number of older adults with inflammatory bowel disease (IBD) is rising. This review addresses the unique clinical features, challenges, and optimal management strategies for elderly IBD patients.

Keywords:
Clinical featuresCrohn’s diseaseElderlyInflammatory bowel diseaseTherapyUlcerative colitis

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Area of Science:

  • Gastroenterology
  • Geriatric Medicine

Background:

  • Global incidence and prevalence of inflammatory bowel disease (IBD) are increasing.
  • An aging population means more elderly patients will be diagnosed with IBD.

Purpose of the Study:

  • To review the clinical features and therapeutic options for IBD in the elderly.
  • To address common questions and challenges in managing IBD in older adults.

Main Methods:

  • Review of existing literature on IBD in the elderly.
  • Analysis of age-specific concerns including comorbidities and polypharmacy.

Main Results:

  • Clinical features and treatments are similar but with notable differences in the elderly.
  • Delayed diagnosis is common due to a broad differential diagnosis in older patients.
  • Limited data and guidelines specific to elderly IBD patients pose management challenges.

Conclusions:

  • Management requires consideration of age-specific factors like comorbidities and polypharmacy.
  • Treatment decisions must balance maximizing benefit and minimizing harm due to increased adverse effect risk.
  • Personalized, evidence-based, and holistic management is crucial for optimal outcomes.