Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-09T07:26:05.246Z Has data issue: false hasContentIssue false

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

By
Karen E. Hall
Edited by
Jan Busby-Whitehead ,
Christine Arenson ,
Samuel C. Durso ,
Daniel Swagerty ,
Laura Mosqueda ,
Maria Fiatarone Singh  and
William Reichel
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
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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. 64:9–12.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;345:41–52.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;15:579–605.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

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×