Kasper H
Medizinische Klinik, Universität Würzburg.
Fortschr Med. 1990 Nov 30;108(34):647-50.
In no other part of the gastrointestinal tract is there such a wide range of incidence of pathological changes and such a marked increase in incidence with increasing age as the colorectum. In view of the increasing numbers of old people in the general population, therefore, gastroenterologists are increasingly being confronted with these diseases. The most important in practical terms are constipation, colonic diverticulosis with its complications, benign and malignant tumors, and the damages to the wall of the colon resulting from deficient perfusion. In the case of geriatric patients, the evaluation of the symptomatology, so important for the diagnosis, can be difficult, since the complaints may be overemphasized owing to anxious self-observation, or, owing to a reduction in cerebral capacity, are not adequately appreciated and reported.
在胃肠道的其他任何部位，都不存在像结肠直肠这样广泛的病理变化发生率，以及随着年龄增长如此显著的发病率上升情况。鉴于普通人群中老年人数量不断增加，因此，胃肠病学家越来越多地面临这些疾病。从实际角度来看，最重要的是便秘、伴有并发症的结肠憩室病、良性和恶性肿瘤，以及因灌注不足导致的结肠壁损伤。对于老年患者而言，对诊断至关重要的症状评估可能会很困难，因为由于焦虑的自我观察，这些症状可能会被过度强调，或者由于脑功能下降，这些症状没有得到充分认识和报告。
