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© 1985 Oxford University Press

research-article

IS THE PATTERN OF INFLAMMATORY BOWEL DISEASE DIFFERENT IN THE ELDERLY?

SANJEEV GUPTA, Registrar, S. H. SAVERYMUTTU, Research Fellow, A. KESHAVARZIAN, Honorary Senior Registrar and H. J. F. HODGSON, Senior Lecturer

Gastroenterology Unit, Department of Medicine, Royal Postgraduate Medical School, Hammersmith Hospital London W12 0HS

The clinical course of inflammatory bowel disease in elderly patients has been reviewed. The natural history of ulcerative colitis and Crohn's disease in the elderly is similar to that in the young with the usual wide spectrum of severity of disease. Such inflammatory bowl disease responds well to medical treatment in the majority of elderly patients, and surgical intervention is only required rarely for complications or unresponsive disease. Reports of a more serious clinical course in older patients were not substantiated.

accepted in revised form June 10, 1985.


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