Pocket Guide to IBD, Second Edition

Marla Dubinsky, MD; Sonia Friedman, MD

Chapter 18: The Elderly Patient (continued)

Matthew J. Hamilton, MD

The number of patients older than the age of 60 with IBD is increasing as our population becomes older. With regard to disease onset, recent epidemiologic studies have shown that after the initial peak in the second and third decades, the incidence of IBD into the seventh decade remains fairly constant. Establishing the diagnosis of IBD in the elderly patient is a greater challenge than in younger patients because of the longer differential diagnosis, the misconception about the disease prevalence in this population, and the likelihood of an atypical presentation. Careful history taking…