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General perspectives on the aged gut.

P R Holt1

  • 1Division of Gastroenterology, St. Luke's/Roosevelt Hospital Center, New York, New York.

Clinics in Geriatric Medicine
|May 1, 1991
PubMed
Summary
This summary is machine-generated.

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Geriatricians seek gastroenterologist solutions for elderly swallowing difficulties (transfer dysphagia), constipation, and fecal incontinence. Research into sensory retraining and new prokinetic agents may offer improved management strategies.

Area of Science:

  • Gastroenterology
  • Geriatrics
  • Clinical Medicine

Background:

  • Geriatricians identify key gastrointestinal issues in elderly patients.
  • Common problems include transfer dysphagia, altered bowel habits (constipation/diarrhea), and fecal incontinence.

Purpose of the Study:

  • To highlight critical gastrointestinal conditions requiring gastroenterological expertise for elderly patients.
  • To explore potential therapeutic avenues for these prevalent geriatric issues.

Main Methods:

  • Review of clinical challenges in geriatric gastroenterology.
  • Discussion of potential interventions such as sensory retraining for dysphagia.
  • Consideration of novel prokinetic agents for constipation.
  • Emphasis on studying the pathophysiology of fecal incontinence.

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Main Results:

  • Transfer dysphagia in elderly patients with central nervous system disease is a significant concern.
  • Constipation is prevalent, particularly in institutionalized elderly individuals.
  • Fecal incontinence is a major factor in long-term care placement.

Conclusions:

  • Addressing transfer dysphagia through sensory retraining may offer therapeutic benefits.
  • Development of improved prokinetic agents is needed for geriatric constipation.
  • Intensive study of fecal incontinence pathophysiology is crucial for effective management strategies.