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Journal of Gastroenterology
Published in: Journal of Gastroenterology 7/2019

Open Access 01-07-2019 | Ulcerative Colitis | Review

Management of elderly ulcerative colitis in Japan

Authors: Masaaki Higashiyama, Akira Sugita, Kazutaka Koganei, Kenji Wanatabe, Yoko Yokoyama, Motoi Uchino, Masakazu Nagahori, Makoto Naganuma, Shigeki Bamba, Shingo Kato, Ken Takeuchi, Teppei Omori, Tomohisa Takagi, Satohiro Matsumoto, Mitsuo Nagasaka, Shintaro Sagami, Kazuya Kitamura, Takehiko Katsurada, Ken Sugimoto, Noritaka Takatsu, Masayuki Saruta, Toshiyuki Sakurai, Kazuhiro Watanabe, Shiro Nakamura, Yasuo Suzuki, Ryota Hokari

Published in: Journal of Gastroenterology | Issue 7/2019

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Abstract

Japan has the largest aging society, where many elderly people have intractable diseases including ulcerative colitis (UC). Along with the increasing total number of UC patients, the number of elderly UC patients has also been increasing and will continue to do so in the future. Although the clinical features and natural history of UC in the elderly have many similarities with UC in the non-elderly population, age-specific concerns including comorbidities, immunological dysfunction, and polypharmacy make the diagnosis and management of elderly UC challenging compared to UC in non-elderly patients. Based on increasing data related to elderly UC patients from Japan, as well as other countries, we reviewed the epidemiology, clinical course, differential diagnosis, management of comorbidities, surveillance, medical therapy, and surgery of UC in the elderly.
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Metadata
Title
Management of elderly ulcerative colitis in Japan
Authors
Masaaki Higashiyama
Akira Sugita
Kazutaka Koganei
Kenji Wanatabe
Yoko Yokoyama
Motoi Uchino
Masakazu Nagahori
Makoto Naganuma
Shigeki Bamba
Shingo Kato
Ken Takeuchi
Teppei Omori
Tomohisa Takagi
Satohiro Matsumoto
Mitsuo Nagasaka
Shintaro Sagami
Kazuya Kitamura
Takehiko Katsurada
Ken Sugimoto
Noritaka Takatsu
Masayuki Saruta
Toshiyuki Sakurai
Kazuhiro Watanabe
Shiro Nakamura
Yasuo Suzuki
Ryota Hokari
Publication date
01-07-2019
Publisher
Springer Japan
Published in
Journal of Gastroenterology / Issue 7/2019
Print ISSN: 0944-1174
Electronic ISSN: 1435-5922
DOI
https://doi.org/10.1007/s00535-019-01580-y

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