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Esophageal Disorders in the Older Adult
Shaili Babbar1, Moniyka Sachar1, Adam Faye2
1New York University Grossman School of Medicine, 550 1st Avenue, New York, NY 10016, USA.
Current Treatment Options in Gastroenterology
|March 10, 2025
Summary
Esophageal dysphagia is common in older adults and impacts quality of life. This review details causes, diagnosis, and management, including new tools and treatments for complex geriatric patients.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Clinical Medicine
Background:
- Dysphagia is a prevalent condition in the geriatric population, significantly affecting quality of life.
- Esophageal dysphagia's presentation, diagnosis, and treatment vary based on etiology, particularly in elderly individuals with comorbidities.
Purpose of the Study:
- To explore the complexities of esophageal dysphagia in the elderly.
- To outline diagnostic schemas and management strategies tailored for geriatric patients.
- To analyze risks and benefits of treatments in medically complex older individuals.
Main Methods:
- Review of current literature on esophageal dysphagia in the geriatric population.
- Discussion of novel diagnostic modalities such as functional luminal imaging probe (FLIP) and timed barium esophagram (TBE).
- Evaluation of therapeutic interventions, including less invasive options like radiofrequency ablation (RFA) and transoral incisionless fundoplication (TIF).
Main Results:
- Identified common etiologies of esophageal dysphagia in the elderly.
- Presented a diagnostic schema for esophageal dysphagia.
- Highlighted treatment choices and safety profiles for geriatric patients, considering comorbidities.
Conclusions:
- Management of esophageal dysphagia in the elderly requires a tailored approach considering etiology and comorbidities.
- Novel diagnostic and therapeutic options offer promising benefits for geriatric patients.
- Further research into the safety and efficacy of interventions in complex geriatric populations is warranted.
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