Abstract: The objective of the study is to identify the clinical features of inflammatory bowel disease (IBD) in elderly and senile patients in St. Petersburg. A retrospective analysis of medical charts of 208 patients with IBD over 60 years old has been carried out. Sixty percent of the patients had ulcerative colitis (UC), and forty percent had Crohn’s disease (CD). The control group consisted of 867 patients aged up to 60 years (524 patients with UC, 60.4%, and 343 patients with CD, 29.6%). Concomitant cardiovascular and broncho-pulmonary diseases, diseases of bones and joints, pathology of the kidneys and urinary tract, and pathology of the liver were detected in 87, 25, 35, 26.5, and 44% of patients. The onset and recurrence of IBD were often accompanied (33.6%) by a deterioration in the course of somatic pathology (versus 8.7% in other age groups of patients). The period from the first signs of the disease to verification of the IBD diagnosis in older patients was longer than in young and middle-aged patients. Distal localization of the pathological process (proctitis and left-sided colitis) prevailed among patients with UC, and the inflammatory form of the disease dominated in patients with CD.
Предметные области Scopus
- Гериатрия и геронтология