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Copyright ©2011 Baishideng Publishing Group Co.
World J Gastroenterol. Jun 14, 2011; 17(22): 2734-2739
Published online Jun 14, 2011. doi: 10.3748/wjg.v17.i22.2734
Table 1 Differential diagnostic of colitis in patients older than 60 years
DiseaseClinical characteristicsEndoscopic findings
Colitis associated to diverticulosisRectal bleeding, abdominal pain, diarrheaSegmentary distribution, peridiverticular, sigma affected, rectum and proximal colon are normal
Ischemic colitisAbdominal pain rectorragia acute onsetSegmentary colitis (sigma/left colitis), majority are non-obstructive
Microscopic colitisWatery diarrhea, no rectal bleeding, no fever, frequent cause of diarrhea in the elderyNormal endoscopy, multiple biopsies from colon, celiac disease association
Infectious colitisDisenteriforme diarrhea, different agents, C.difficile to be ruled outDifuse effects on the colon Increased morbidity and mortality in older-aged population
NSAIDs colitisRecurrent abdominal pain; obstruction, perforation, hemorrhage; chronic anemiaAny part of the intestine, isolated lesions, aggravate previous UC and CD