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Erschienen in: Drugs & Aging 7/2019

04.05.2019 | Review Article

A Comprehensive Review of the Diagnosis and Pharmacological Management of Crohn’s Disease in the Elderly Population

verfasst von: David Kim, Sasha Taleban

Erschienen in: Drugs & Aging | Ausgabe 7/2019

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Abstract

Crohn’s disease (CD) in the elderly is rising in prevalence, which is related to an increase in its incidence and improving life expectancies. There are differences in the presentation, natural history, and treatment of CD between adult-onset patients who progress to older age and patients who are initially diagnosed at an older age. Presentation at an older age may also delay or make diagnosis challenging due to accumulating co-morbidities that mimic inflammatory bowel disease. Differences exist between adult- and older-onset disease, yet many guidelines do not specifically distinguish the management of these two distinct populations. Identifying patients at high risk for progression or aggressive disease is particularly important as elderly patients may respond differently to medical and surgical treatment, and may be at higher risk for adverse effects. Despite newer agents being approved for CD, the data regarding efficacy and safety in the elderly are currently limited. Balancing symptom management with risks of medical and surgical therapy is an ongoing challenge and requires special consideration in these two distinct populations.
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Metadaten
Titel
A Comprehensive Review of the Diagnosis and Pharmacological Management of Crohn’s Disease in the Elderly Population
verfasst von
David Kim
Sasha Taleban
Publikationsdatum
04.05.2019
Verlag
Springer International Publishing
Erschienen in
Drugs & Aging / Ausgabe 7/2019
Print ISSN: 1170-229X
Elektronische ISSN: 1179-1969
DOI
https://doi.org/10.1007/s40266-019-00672-x

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