%0 Journal Article
%T Prevalencia de diferentes tipos de colitis en personas adultas mayores Prevalence of different types of colitis among the elderly
%A William Otero Regino
%A Ang谷lica Gonz芍lez
%A Mart赤n G車mez Zuleta
%J Revista Colombiana de Gastroenterologia
%D 2009
%I Asociaci車n Colombiana de Gastroenterolog赤a
%X Introducci車n. La colitis es un proceso inflamatorio del colon con diversas etiolog赤as, con cuadro cl赤nico y endosc車pico similar. En el paciente, se debe determinar si es agudo (< 4 semanas) o cr車nico (> 4 semanas). En adultos con diarrea sanguinolenta < 4 semanas, la etiolog赤a m芍s frecuente es infecciosa y en adultos mayores (>65 a os), infecciones, colitis isqu谷mica, y rara vez enfermedad inflamatoria intestinal. En nuestro medio carecemos de informaci車n sobre colitis en esta poblaci車n. Objetivos. Determinar prevalencia de colitis en adultos mayores, sus causas y localizaci車n. Materiales y m谷todos. Estudio observacional, con pacientes adultos mayores identificados mediante colitis en la colonoscopia, confirmada histol車gica y cl赤nicamente desde marzo 2002-diciembre 2006. Resultados. Se revisaron 2244 resultados de colonoscopia, 321 adultos mayores y de estos 49 (15%) tuvieron colitis por endoscopia, histolog赤a y cuadro cl赤nico. Causas principales: isquemia 30%, infecciosa 20% (40% C. difficile), colitis ulcerativa 18%, posradioterapia 18% y otras 14% (AINES, neoplasias, etc.). En el 23% la colitis era del lado derecho. Conclusi車n. La prevalencia de colitis en adultos mayores sometidos a colonoscopia fue del 15% y las principales causas: isquemia, infecci車n (40% C. difficile), colitis ulcerativa y posradioterapia. La colonoscopia completa est芍 indicada en todos los pacientes adultos mayores con colitis aguda. Introduction: Colitis is an inflammatory process of the colon with diverse etiologies, although clinical conditions and endoscopic examinations look similar. The attending physician should determine if the condition is acute (less than four weeks duration), or chronic (more than four weeks duration). The most frequent cause of acute bloody diarrhea in adults is infection, although in adults over 65 years of age causes include ischemic colitis and, upon rare occasions, inflammatory intestinal disease. Information is lacking on colitis among the population of Colombia. Objectives: determine the prevalence, causes and localities of colitis among older adults. Materials and methods: Observational study of older adult patients who have been diagnosed as having colitis through colonoscopies, and have had these diagnoses confirmed histological and clinically during the period between March, 2002 and December, 2006. Results: The results of 2244 colonoscopies were reviewed. Of 321 older adults, 49 had been diagnosed with colitis and had had these diagnoses confirmed histologically and clinically. The principal causes included: ischemia, 30%; infections, 20%
%K Colitis
%K adulto mayor
%K colitis isqu谷mica
%K colitis ulcerativa
%K colonoscopia
%K Colitis
%K older adult
%K ischemic colitis
%K ulcerative colitis
%K colonoscopy
%U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-99572009000300009