| Theme | Treatment for children, pregnant women and elderly patients with IBD | |
|---|---|---|
| Title | Clinical features of inflammatory bowel disease in elderly patients | |
| Publish Date | 2017/03 | |
| Author | Ryota Hokari | Department of Internal Medicine, National Defense Medical College |
| Author | Kazuhiko Shirakabe | Department of Internal Medicine, National Defense Medical College |
| Author | Chikako Watanabe | Department of Internal Medicine, National Defense Medical College |
| Author | Masaaki Higashiyama | Department of Internal Medicine, National Defense Medical College |
| Author | Shunsuke Komoto | Department of Internal Medicine, National Defense Medical College |
| [ Summary ] | The incidence of inflammatory bowel disease (IBD) is increasing globally, including in Japan. IBD in the elderly is becoming more common. Genetic backgrounds are involved less with the pathophysiology of later onset of IBD. Response to drug therapies appears to be similar in elderly patients as in younger ones. Corticosteroid treatment carries additional risks for elderly patients. In addition, polypharmacological effects and malignancies should be taken into account. Pre-existing comorbidities and nutrition are important factors concerning surgical outcomes. | |