van Walree I C, van Tuyl S A C, Hamaker M E
Departments of Internal Medicine, Gastroenterology, Geriatric Medicine, Diakonessenhuis Utrecht, Utrecht, the Netherlands, *corresponding author: tel.: +31(0)50-234421, fax: +31(0)88-2509118, email:
Neth J Med. 2015 Jan;73(1):4-9.
Elderly-onset inflammatory bowel disease (IBD) will be seen more frequently with the ageing of the population and the increasing incidence of IBD. However, knowledge regarding the best approach to IBD in this population is scarce. Furthermore, differential diagnosis in elderly patients with diarrhoea, rectal blood loss or a changed defecation pattern is comprehensive and IBD is not always considered. In this case series, we present three elderly patients with late-onset IBD, demonstrating the difficulties in diagnosing and treating IBD in this patient population; in addition an overview of IBD in the elderly is provided.
随着人口老龄化和炎症性肠病（IBD）发病率的上升，老年起病的IBD将会越来越常见。然而，关于针对该人群IBD的最佳治疗方法的知识却很匮乏。此外，对患有腹泻、直肠出血或排便习惯改变的老年患者进行鉴别诊断是全面性的，IBD并不总是被考虑在内。在这个病例系列中，我们展示了三名老年迟发性IBD患者，证明了在该患者群体中诊断和治疗IBD的困难；此外还提供了老年IBD的概述。
