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In the elderly, <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> is easily confused with other more common diseases, mainly diverticular disease and ischaemic colitis. The clinical features of <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> in older patients are generally similar to those in younger patients. Crohn's disease (<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>) in elderly patients is characterised by its predominantly colonic localisation and uncomplicated course. Proctitis and left\u2010sided ulcerative colitis are more common in patients aged &gt;60\u00a0years. Infections are associated with age and account for significant mortality in <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> patients. The treatment of <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> in the elderly is generally similar. However, the therapeutic approach in the elderly should be \u2018start low\u2010go slow\u2019. The benefit of thiopurines in older <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> patients remains debatable. Although the indications for anti\u2010tumour necrosis factors in the elderly are generally similar to those for younger patients, lower response and higher adverse events have been reported in the elderly. Surgery in elderly patients does not generally differ. Ileal pouch\u2010anal anastomosis can be successful, provided the patient retains good anal sphincter function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Management of the older <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> patient differs from that of younger patients; therefore, conventional practice algorithms may have to be modified to account for advanced age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apt.12616","type":"journal-article","created":{"date-parts":[[2014,1,10]],"date-time":"2014-01-10T05:13:42Z","timestamp":1389330822000},"page":"459-477","source":"Crossref","is-referenced-by-count":149,"title":["Systematic review with meta\u2010analysis: inflammatory bowel disease in the elderly"],"prefix":"10.1111","volume":"39","author":[{"given":"J. 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