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Reflux and acid peptic diseases in the elderly
Amir Soumekh1, Felice H Schnoll-Sussman, Philip O Katz
1Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical College, 1305 York Avenue, 4th Floor, New York, NY 10021, USA.
Clinics in Geriatric Medicine
|November 26, 2013
Summary
Gastroesophageal reflux disease (GERD) presents unique challenges in elderly patients, often with atypical symptoms and increased complication risks. Careful diagnosis and vigilant management are crucial for this population.
Area of Science:
- Gastroenterology
- Geriatric Medicine
Background:
- Gastroesophageal reflux disease (GERD) is prevalent in elderly patients seeking medical care.
- GERD diagnosis and management in older adults pose unique challenges for healthcare providers.
- Elderly patients may exhibit atypical GERD symptoms, disease severity, and higher complication rates.
Purpose of the Study:
- To highlight the diagnostic and management challenges of GERD in the elderly.
- To emphasize the increased risk of complications in older GERD patients.
- To advocate for a careful and vigilant approach to GERD in geriatric populations.
Main Methods:
- Review of existing literature on GERD in elderly patients.
- Analysis of atypical presentations and complications in older adults.
- Evaluation of treatment sensitivities and risks in the geriatric population.
Main Results:
- Elderly GERD patients may present with atypical symptoms.
- Complications like erosive esophagitis, Barrett esophagus, and esophageal cancer are more common.
- Older individuals may be more susceptible to treatment-related morbidity and mortality.
Conclusions:
- A meticulous diagnostic process is essential for GERD in the elderly.
- Vigilant monitoring and tailored treatment strategies are required.
- A proactive approach is warranted to manage GERD effectively in older patients.
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