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Gastrointestinal diseases in the elderly.

Peter R Holt1

  • 1Division of Gastroenterology, St Luke's Roosevelt Hospital Center, 1111 Amsterdam Avenue at 114th Street, New York, NY 10025, USA. pholt@chpnet.org

Current Opinion in Clinical Nutrition and Metabolic Care
|December 24, 2002
PubMed
Summary

Gastrointestinal disorders in the elderly are increasingly important. Advances in understanding pathophysiology offer improved treatments for conditions like reflux esophagitis and colorectal cancer, reducing patient morbidity.

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Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Clinical Research

Background:

  • The elderly population is growing, representing a significant portion of healthcare costs.
  • Gastrointestinal (GI) disorders are prevalent in older adults.
  • Medical understanding is shifting away from attributing all symptoms to aging.

Purpose of the Study:

  • To highlight key areas in GI disorders for improved elderly care.
  • To review advancements in understanding GI pathophysiology in aging individuals.
  • To emphasize the need for targeted clinical research in geriatric gastroenterology.

Main Methods:

  • Review of current literature on GI pathophysiology in the elderly.
  • Analysis of progress in specific GI conditions affecting older adults.

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  • Synthesis of findings related to diagnosis, management, and treatment.
  • Main Results:

    • Progress in understanding swallowing and evacuation disorders, with improved functional techniques.
    • Enhanced recognition and treatment of reflux esophagitis and its complications.
    • Improved understanding of malabsorption disorders and their nutritional impact in the elderly.
    • Advances in diagnosing and managing inflammatory bowel disease in older patients.
    • Development of approaches for preventing and treating GI cancers, especially colorectal cancer.

    Conclusions:

    • Continued focus on these GI areas and clinical research will enhance treatment for older patients.
    • Improved management strategies are expected to reduce the burden of morbidity in this demographic.
    • This review underscores the potential for significant improvements in geriatric gastroenterological care.