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Clinical Characteristics of Ischemic Colitis in Elderly Patients
Background/Aims:
The aim of this study was to retrospectively analyze the endoscopy findings, clinical symptoms, signs and biochemical data of elderly patients with ischemic colitis (IC). METHODOLOGy: A retrospective study of 58 patients diagnosed with IC in the endoscopy center of Jinan Central Hospital from October 2008 to October 2013 was carried out. The patients were divided into two groups based on the age: elderly group (≥ 65 years) versus young group (< 65 years). Symptoms, signs, biochemical data, endoscopic findings and the length of hospitalization were compared.
Results:
Of the 58 patients with IC (43 women and 15 men), the median age was 72.5 years (range 30-84 years), and 70.69% (41/58) were over the age of 65 years. Compared with the young group, the elderly group had a less frequent hyperactive bowel sounds, a higher baseline levels of C-reactive protein(CRP) and a longer average periods of hospitalization.
Conclusion:
Clinical characteristics of IC in the elderly were similar to those in the young group. CRP may be involved in the development of IC in the elderly patients. By considering the basic dieases combined with CRP levels, it is possible to more effectively predict and prevent the development of IC.
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