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[Ischemic and inflammatory colitis in elderly subjects over 70].

M Blazquez1, R Le Coz-Hugele, J Cosnes

  • 1Service d'Hépatogastroentérologie et de Pathologie digestive post-operatorie, Hôpital Rothschild, Paris.

Annales De Gastroenterologie Et D'Hepatologie
|October 1, 1989
PubMed
Summary

In elderly patients, non-infectious colitis presents with bleeding, pain, and diarrhea. Early left-sided endoscopy aids in timely diagnosis and treatment of colitis, improving prognosis.

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Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Coloproctology

Context:

  • Non-infectious colitis is a significant concern in elderly patients.
  • Macroscopic colitis in individuals over 70 presents diagnostic challenges.
  • This study focuses on the consecutive observation of 25 elderly patients with non-infectious colitis.

Purpose:

  • To analyze the clinical presentation, diagnostic methods, and outcomes of non-infectious colitis in elderly patients.
  • To identify key factors for early and accurate etiological diagnosis of colitis in this demographic.
  • To evaluate the effectiveness of diagnostic tools like endoscopy and histology.

Summary:

  • The study identified ischemic colitis (12 cases), cryptogenetic colitis (10 cases, including ulcerative colitis and Crohn's disease), and unclassified colitis (3 cases).

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  • Common symptoms included rectal bleeding (92%), abdominal pain (76%), and diarrhea (56%). Lesions were predominantly in the left and sigmoid colon.
  • Prognosis was severe, with 32% requiring surgery and a 24% mortality rate. Diagnostic accuracy improved with clinical data, endoscopy, and histology.

    • Impact:

    • Early, minimally invasive left-sided endoscopy combined with clinical data can facilitate rapid etiological diagnosis of colitis in the elderly.
    • Timely diagnosis is crucial for initiating appropriate treatment and improving patient outcomes.
    • Findings highlight the importance of considering specific diagnostic factors for colitis in geriatric populations.