Crohn's Disease: Specific Concerns in the Elderly
Crohn's disease (CD) and ulcerative colitis are the principal types of inflammatory bowel disease, which has a bimodal age distribution, with ∼10–15% of the affected population older than 60 years. The management of CD in the elderly population is more complex due to comorbidities, polypharmacy...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2016-09-01
|
| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959816300692 |
| _version_ | 1828334159347580928 |
|---|---|
| author | Wei-Chen Lin Ming-Jen Chen Cheng-Hsin Chu Tsang-En Wang Horng-Yuan Wang Shou-Chuan Shih Chen-Wang Chang |
| author_facet | Wei-Chen Lin Ming-Jen Chen Cheng-Hsin Chu Tsang-En Wang Horng-Yuan Wang Shou-Chuan Shih Chen-Wang Chang |
| author_sort | Wei-Chen Lin |
| collection | DOAJ |
| description | Crohn's disease (CD) and ulcerative colitis are the principal types of inflammatory bowel disease, which has a bimodal age distribution, with ∼10–15% of the affected population older than 60 years. The management of CD in the elderly population is more complex due to comorbidities, polypharmacy, impaired mobility, and surgical candidacy criteria. Further difficulty exists in the data and experience from clinical trials, which often exclude the elderly. Therefore, few data are available that directly compare treatment efficacies in younger and older patients. Recognizing prescribed medications and natural disease history in this population is the first step in preventing complications and improving quality of care delivered to older individuals with CD. This review focuses on the CD-related treatment, associated complications, and limitations in the elderly population. |
| first_indexed | 2024-04-13T21:28:46Z |
| format | Article |
| id | doaj.art-645e8b187ac8472a8ac0d9841390c808 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-04-13T21:28:46Z |
| publishDate | 2016-09-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-645e8b187ac8472a8ac0d9841390c8082022-12-22T02:29:14ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982016-09-0110312613010.1016/j.ijge.2015.11.003Crohn's Disease: Specific Concerns in the ElderlyWei-Chen Lin0Ming-Jen Chen1Cheng-Hsin Chu2Tsang-En Wang3Horng-Yuan Wang4Shou-Chuan Shih5Chen-Wang Chang6Division of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, TaiwanCrohn's disease (CD) and ulcerative colitis are the principal types of inflammatory bowel disease, which has a bimodal age distribution, with ∼10–15% of the affected population older than 60 years. The management of CD in the elderly population is more complex due to comorbidities, polypharmacy, impaired mobility, and surgical candidacy criteria. Further difficulty exists in the data and experience from clinical trials, which often exclude the elderly. Therefore, few data are available that directly compare treatment efficacies in younger and older patients. Recognizing prescribed medications and natural disease history in this population is the first step in preventing complications and improving quality of care delivered to older individuals with CD. This review focuses on the CD-related treatment, associated complications, and limitations in the elderly population.http://www.sciencedirect.com/science/article/pii/S1873959816300692clinical featuresCrohn's diseaseelderlyinflammatory bowel diseasetreatment |
| spellingShingle | Wei-Chen Lin Ming-Jen Chen Cheng-Hsin Chu Tsang-En Wang Horng-Yuan Wang Shou-Chuan Shih Chen-Wang Chang Crohn's Disease: Specific Concerns in the Elderly International Journal of Gerontology clinical features Crohn's disease elderly inflammatory bowel disease treatment |
| title | Crohn's Disease: Specific Concerns in the Elderly |
| title_full | Crohn's Disease: Specific Concerns in the Elderly |
| title_fullStr | Crohn's Disease: Specific Concerns in the Elderly |
| title_full_unstemmed | Crohn's Disease: Specific Concerns in the Elderly |
| title_short | Crohn's Disease: Specific Concerns in the Elderly |
| title_sort | crohn s disease specific concerns in the elderly |
| topic | clinical features Crohn's disease elderly inflammatory bowel disease treatment |
| url | http://www.sciencedirect.com/science/article/pii/S1873959816300692 |
| work_keys_str_mv | AT weichenlin crohnsdiseasespecificconcernsintheelderly AT mingjenchen crohnsdiseasespecificconcernsintheelderly AT chenghsinchu crohnsdiseasespecificconcernsintheelderly AT tsangenwang crohnsdiseasespecificconcernsintheelderly AT horngyuanwang crohnsdiseasespecificconcernsintheelderly AT shouchuanshih crohnsdiseasespecificconcernsintheelderly AT chenwangchang crohnsdiseasespecificconcernsintheelderly |