TY - JOUR
T1 - Colitis in the Elderly
T2 - A Reappraisal
AU - BRANDT, LAWRENCE
AU - BOLEY, SCOTT
AU - GOLDBERG, LAWRENCE
AU - MITSUDO, SUMI
AU - BERMAN, ARTHUR
PY - 1981/9
Y1 - 1981/9
N2 - The records of 81 patients with colitis whose symptoms began after the age of 50 years were analyzed to determine the importance of ischemia as a cause of colitis in this age group and to evaluate the accuracy of previous diagnoses. Patients were classified by clinical, roentgenological and pathologic criteria. A retrospective diagnosis of ischemic colitis was made in three‐fourths of the patients, one‐half of whom had original discharge diagnoses of ulcerative, Crohn's or nonspecific colitis. This study supports our belief that ischemia is the most common cause of colitis beginning in patients older than 50 years of age. Moreover, the incorrect diagnosis of idiopathic inflammatory bowel disease in a large proportion of these patients may explain why colitis has been reported to behave differently in the elderly than in the young.
AB - The records of 81 patients with colitis whose symptoms began after the age of 50 years were analyzed to determine the importance of ischemia as a cause of colitis in this age group and to evaluate the accuracy of previous diagnoses. Patients were classified by clinical, roentgenological and pathologic criteria. A retrospective diagnosis of ischemic colitis was made in three‐fourths of the patients, one‐half of whom had original discharge diagnoses of ulcerative, Crohn's or nonspecific colitis. This study supports our belief that ischemia is the most common cause of colitis beginning in patients older than 50 years of age. Moreover, the incorrect diagnosis of idiopathic inflammatory bowel disease in a large proportion of these patients may explain why colitis has been reported to behave differently in the elderly than in the young.
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U2 - 10.1111/j.1572-0241.1981.tb01218.x
DO - 10.1111/j.1572-0241.1981.tb01218.x
M3 - Article
C2 - 7315820
AN - SCOPUS:0019856564
SN - 0002-9270
VL - 76
SP - 239
EP - 245
JO - The American Journal of Gastroenterology
JF - The American Journal of Gastroenterology
IS - 3
ER -