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Chapter 22 - Gastrointestinal disease in the elderly

from Section III - Care of the elderly by organ system

Published online by Cambridge University Press:  05 June 2016

Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Gastrointestinal symptoms are common in patients aged 65 and older and can range from mild, self-limited episodes of constipation or acid reflux to life-threatening episodes of infectious colitis or bowel ischemia. Geriatric-aged patients may present with unusual or subtle symptoms of GI disease due to alterations in physiology with aging and the superimposed effect of other comorbidities and their treatments. Balancing risks and benefits of treatment in this population requires an understanding of the impact of chronic disease and patient preferences of older adults.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
, pp. 311 - 330
Publisher: Cambridge University Press
Print publication year: 2016

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References

Becher, A., Dent, J. Systematic review: aging and gastro-oesophageal reflux disease symptoms, oesophageal function and reflux oesophagitis. Aliment Pharmacol Ther. 2011: 33:442–54.CrossRefGoogle ScholarPubMed
Morganstern, B, Anandasabapathy, S. GERD and Barrett’s esophagus: diagnotic and management strategies in the geriatric population. Geriatrics. 2009. 64:912.Google Scholar
Desilets, AR, Asal, NJ, Dunican, KC. Considerations for the use of proton pump inhibitors in older adults. Consult Pharm. 2012; 27:114–20.CrossRefGoogle ScholarPubMed
Lee, J, Anggiansah, A, Anggiansah, R. et al. Effects of age on the gastroesophageal junction, esophageal motility, and reflux disease. Clin Gastroenterol Hepatol. 2007; 5:1392–8.Google Scholar
Esfandyari, T, Potter, JW, Vaczi, MF. Dysphagia: a cost analysis of the diagnostic approach. Am J Gastroenterol. 2002: 97–2733–7.CrossRefGoogle Scholar
Griffin, MR: Epidemiology of nonsteroidal anti-inflammatory drug-associated gastrointestinal injury. Am J Med 1998;104: 23S.Google Scholar
Rosen, AM: Gastrointestinal bleeding in the elderly. Clin Geriatr Med 1999;15: 511.Google Scholar
Farrell, JJ, Friedman LS: gastrointestinal bleeding in the elderly. Gastroenterol Clin North Am 2001;30:377.CrossRefGoogle ScholarPubMed
Saif, MW, Makrilia, N, Zalonis, A, et al. Gastric cancer in the elderly: an overview. Eur J Surg Oncol. 2010; 36:709–17.CrossRefGoogle ScholarPubMed
Williams, JJ, Beck, PL, Andrews, CN, et al. Microscopic colitis – a common cause of diarrhoea in older adults. Age and Aging 2010;39:162–8.Google Scholar
Stollman, NH, et al. Diagnosis and management of diverticular disease of the colon in adults. Am J Gastroenterology 1999;94:3110–21.Google Scholar
Murad, Y, Radi, ZA, Murad, M, Hall, K. Inflammatory bowel disease in the geriatric population. Front Biosci. 2011 Jun;1(3):945–54.Google Scholar
Soffer, EE, Hull, T. Fecal incontinence: a practical approach to evaluation and treatment. Am J Gastroenterology 2000;95:1873–80.Google Scholar
Tariq, SH. Fecal incontinence in older adults. Clin Geriatr Med 2007;23:857–69.CrossRefGoogle ScholarPubMed
Mertz, H, Naliboff, B, Mayer, EA. Symptoms and physiology in severe chronic constipation. Am J Gastroenterology 1999;94:131–8.Google Scholar
Stevens, TK, Palmer, RM. Fecal incontinence in long-term care patients. Long-Term Care Interface 2007;8:35–9.Google Scholar
Brandt, LJ, Boley, SJ AGA technical review on intestinal ischemia. Gastroenterology 2000;118:954.Google Scholar
Greenwald, DA, Brandt, LJ, Reinus, JF. Ischemic bowel disease in the elderly. Gastroenterol Clin North Am 2001;30:445.Google Scholar
Koutroubakis, IE, Sfiridaki, A, Theodoropoulou, A, et al. Role of acquired and hereditary thrombotic risk factors in colon ischemia of ambulatory patients. Gastroenterology 2001;121:561–5.Google Scholar
Befeler, AS, Di Bisceglie, AM. Infections of the liver: hepatitis B. Infect Dis Clin North Am 2000;14:617–32.CrossRefGoogle Scholar
Lauer, GM, Walker, BD. Hepatitis C virus infection. N Engl J Med 2001;345:4152.Google Scholar
Regev, A, Schiff, ER. Liver disease in the elderly. Gastroenterol Clin North Am 2001;30:547–63.Google Scholar
Affronti, J. Biliary disease in the elderly patient. Clin Geriatr Med 1999;15: 571–8.Google Scholar
Spira, RM, Nissan, A, Zamir, O, et al. Percutaneous transhepatic cholecystostomy and delayed laparoscopic cholecystectomy in critically ill patients with acute cholecystitis. Am. J. Surg. 2002; 183:62–6.Google Scholar
Martin, SP, Ulrich, CD. Pancreatic disease in the elderly. Clin Geriatr Med 1999;15:579605.Google Scholar
Ross, SO, Forsmark, CE. Pancreatic and biliary disorders in the elderly. Gastroenterol Clin North Am 2001;30:531–45.Google Scholar
Chapman, IM. Weight loss in older persons. Med Clin North Amer 2011;95:579–93.Google Scholar
Jensen, GL, McGee, M, Binkley, B. Nutrition in the elderly. Gastroenterol Clin North Am 2001;30: 313–34.Google Scholar
Meyyazhagan, S, Palmer, RM. Nutritional requirements with aging: prevention of disease. Clin Geriatr Med 2002;18:557–76.Google Scholar

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