Yaşlıda ülseratif kolit

Key Findings & Data:We therefore undertook this study to determine the clinical characteristics of the disease in patients in whom the onset of symptoms and diagnosis occured after age 60.

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Conclusion & Impact:Although initial attack is more severe in these patients, clinical remission is obtained with prompt diagnosis and proper therapy.

🔬Design:Review & Systematic Survey

📍Scope:Comprehensive Sample

⚙️Variables:Kolit · ülseratif · Kolon hastalıkları

Abstract

Several previous report regarding the clinical behavior and course of ulcerative colitis in the elderly were conflicting. We therefore undertook this study to determine the clinical characteristics of the disease in patients in whom the onset of symptoms and diagnosis occured after age 60. The patients who were followed up with regular intervals and aged between 60 and 81 were reviewed and compared with a younger group. Some variables encompassing clinical, laboratory and medical and surgical aspects of treatment were analyzed. Forty-one patients (11.2%) had the onset of symptoms and diagnosis made after age 60. Sex prevalance, the extend of the disease, the laboratory data in older patients were similar to those observed in younger patients. Older patients have more severe initial attack than the younger patients, but clinical remission was obtained in most of the older patients and only 2.4% requried surgery. In contrast, in the younger patients refractory disease (10.1%) and surgery requirement (7.6%) was more frequent. Inflammatory bowel disease is not uncommon in the elderly. Although initial attack is more severe in these patients, clinical remission is obtained with prompt diagnosis and proper therapy.

Özet

İleri yaşta ortaya çıkan ülseratif kolitin klinik davranışı ve gidişi hakkında daha önce yapılan çalışmaların sonuçları çelişkilidir. Bu yüzden biz hastalık semptomları 60 yaşın üzerinde başlamış ve tanı almış hastalarda hastalığın klinik karakteristiklerini tesbit etmek için bu çalışmayı yaptık. Yaşları 60-81 arasında olan hastamız gözden geçirildi ve genç grupla karşılaştırıldı. Bazı klinik, laboratuvar değişkenlerle, medikal ve cerrahi tedaviye yanıtları incelendi. Altmış yaş üzerinde semptomları başlayan ve tanı alan 41 hasta (toplamın %11.2'si) vardı. Cins prevalansı, hastalığın yaygınlığı, laboratuvar verileri genç hastalardakilerle benzerdi. Yaşlı hastalar genç hastalara göre daha şiddetli ilk atağa sahiptiler, fakat klinik remisyon çoğunda elde edildi ve sadece %2.4'ü cerrahi gerektirdi. Bunun aksine genç hastalarda refrakter hastalık oranı (%10.1) ve cerrahi gerektirme oranı (%7.6) daha yüksekti. Sonuç olarak yaşlı hastalarda inflamatuvar barsak hastalığı nadir değildir . Bu hastalarda ilk atak daha şiddetli olsa da, doğru tanı ve uygun tedavi ile klinik remisyon elde edilebilir.

Keywords

Kolit ülseratif Kolon hastalıkları Yaş faktörü Yaşlı Türkiye Colitis Ulcerative Colonic Diseases Age Factors Aged Turkey

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Cite This Article

PARLAK, E., TEZEL, A., ÜLKER, A., DAĞLI, Ü., ALKIM, C., TÜREYEN, A. (2000). Yaşlıda ülseratif kolit. Turkish Journal of Gastroenterology, Cilt: 11 - Sayı: 1, 45–48. https://ajindex.com/articles/410952

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