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Gut 1985;26:461-465; doi:10.1136/gut.26.5.461
Copyright © 1985 BMJ Publishing Group Ltd & British Society of Gastroenterology.

Crohn's disease in the elderly.

P J Fabricius, S N Gyde, P Shouler, M R Keighley, J Alexander-Williams, R N Allan

The natural history of Crohn's disease in 47 patients, 60 years of age or older at the time of diagnosis has been defined, and their clinical management and long term prognosis reviewed. Distal colonic involvement is common in this group while extensive colonic and diffuse small bowel disease is rare. Distal colonic involvement usually carries a good prognosis except for those few patients who present with perforation which accounts for most of the disease related mortality. The pattern of distal ileal disease is similar to that observed in the younger patients except for the acute nature of symptoms at first presentation, and the low recurrence rates after initial surgical resection.


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This article has been cited by other articles:

  • Freeman, H. J. (2007). Crohn's disease initially diagnosed after age 60 years. Age Ageing 36: 587-589 [Full Text]  
  • Waxman, I., Compton, C. C. (1993). Case 30-1993- A 59-Year-Old Woman with Abdominal Pain and an Abnormal CT Scan. NEJM 329: 343-349 [Full Text]  

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