Publication Name	World Journal of Gastroenterology
Manuscript ID	120681
Country	Türkiye

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Cohort Study
Article Title	Clinical characteristics and treatment patterns of older and younger patients with inflammatory bowel disease
Manuscript Source	Unsolicited Manuscript
All Author List	Fatih Kivrakoglu, Vedat Kilic, Mustafa Ergin, Harun Kucuk, Cagdas Erdogan and Ilhami Yuksel
Funding Agency and Grant Number
Corresponding Author	Fatih Kivrakoglu, MD, Gastroenterology, Adana City Training and Research Hospital, Adana City Training and Research Hospital, Gastroenterology, Adana, Adana 01230, Türkiye. dr.fkivrakoglu@gmail.com
Key Words	Inflammatory bowel disease; Ulcerative colitis; Crohn disease; Age at onset; Biological therapy
Core Tip	This retrospective cohort study highlights significant differences in the clinical presentation and management of patients with older-onset vs younger-onset inflammatory bowel disease. Our findings reveal that elderly patients present with fewer extraintestinal manifestations. Notably, older patients receive far fewer immunosuppressive and biological therapies than younger patients do, reflecting a conservative clinical approach likely driven by age-related safety concerns. These results emphasize the urgent clinical need for age-specific management guidelines to ensure that elderly patients receive adequate and safe therapies without compromising long-term outcomes.
Citation	Kivrakoglu F, Kilic V, Ergin M, Kucuk H, Erdogan C, Yuksel I. Clinical characteristics and treatment patterns of older and younger patients with inflammatory bowel disease. World J Gastroenterol 2026; In press

Received	2026-03-05 00:41
Peer-Review Started	2026-03-05 00:43
First Decision by Editorial Office Director	2026-03-13 10:28
Return for Revision	2026-03-13 10:28
Revised	2026-03-19 10:55
Publication Fee Transferred	2026-03-20 04:43
Second Decision by Editor	2026-04-10 02:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-10 06:35
Articles in Press	2026-04-10 06:35
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
Open Access	This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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