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Gastroesophageal reflux disease and the elderly
Sami R Achem1, Kenneth R DeVault1
1Department of Medicine, Mayo Clinic College of Medicine, Jacksonville, FL, USA.
Gastroenterology Clinics of North America
|February 8, 2014
Summary
Gastroesophageal reflux disease (GERD) poses unique challenges in the elderly, often leading to severe complications. Managing GERD in older adults requires careful consideration due to altered symptom presentation and increased risks from treatment.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Internal Medicine
Background:
- Gastroesophageal reflux disease (GERD) is prevalent across all age groups.
- GERD presents distinct challenges in the elderly population.
- Older adults are susceptible to advanced mucosal damage and complications from GERD.
Purpose of the Study:
- To highlight the specific difficulties in diagnosing and managing GERD in elderly patients.
- To underscore the atypical presentation of GERD symptoms in older individuals.
- To address the complexities of GERD treatment in the geriatric population.
Main Methods:
- Review of existing literature on GERD in the elderly.
- Analysis of clinical presentations and diagnostic challenges.
- Evaluation of therapeutic strategies and associated risks in older patients.
Main Results:
- GERD in the elderly frequently manifests with severe mucosal damage and complications.
- Classic GERD symptoms may be less reliable indicators of disease severity in older patients.
- Treatment efficacy and safety are complicated by potential drug interactions and side effects in this demographic.
Conclusions:
- GERD management in the elderly requires a tailored approach.
- Early and accurate diagnosis is crucial to prevent advanced complications.
- Therapeutic decisions must carefully weigh benefits against risks of adverse events and drug interactions.
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