Management of the Elderly Patients with Inflammatory Bowel Disease: Practical Considerations

被引:18
|
作者
Katz, Seymour [1 ,2 ,3 ]
Surawicz, Christina [4 ]
Pardi, Darrell S. [5 ]
机构
[1] NYU, Sch Med, New York, NY USA
[2] North Shore Univ Hosp Long Isl Jewish Hlth Syst, Manhasset, NY USA
[3] St Francis Hosp, Roslyn, NY USA
[4] Univ Washington, Sch Med, Dept Med, Div Gastroenterol, Seattle, WA 98195 USA
[5] Mayo Clin, Coll Med, Div Gastroenterol & Hepatol, Inflammatory Bowel Dis Clin, Rochester, MN USA
关键词
ANTITUMOR NECROSIS FACTOR; CLOSTRIDIUM-DIFFICILE INFECTION; ADVANCED COLORECTAL NEOPLASIA; SEVERE ULCERATIVE-COLITIS; NONMELANOMA SKIN CANCERS; POUCH-ANAL ANASTOMOSIS; CROHNS-DISEASE; RHEUMATOID-ARTHRITIS; DRUG-INTERACTIONS; INCREASED RISK;
D O I
10.1097/MIB.0b013e31828c8536
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The aging U.S. population will approach 20% of the total population by 2030. The number of older patients with inflammatory bowel disease is anticipated to increase accordingly bringing the burden of multiple comorbidities, polypharmacy with drug interactions, the aging immune system, and extended social and financial issues to overall management of an already challenging management of these patients. Each of these concerns is measured by the metric of distinguishing the fit versus frail elderly and will be discussed in this review with an emphasis on a practical guide to therapy.
引用
收藏
页码:2257 / 2272
页数:16
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