Clinical Gastroenterology in the Elderly

Author: Alvin M. Gelb
Published: August 1996
Publisher: Marcel Dekker
ISBN: 0824793986
Hardcover Book
Number of Pages: 305

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This up-to-date resource provides thorough coverage of the rapidly expanding area of geriatric gastroenterology, focusing on unique issues that need to be addressed when treating the elderly patient - including differing incidence of diseases, comorbidity factors, diminished reserve, and therapeutic benefits as life expectancy decreases. Considering the physiology, immune system, and pharmacological needs when assessing older patients, as well as the attitudes and expectations of physicians, Clinical Gastroenterology in the Elderly discusses swallowing complaints such as oropharyngeal, transport, and esophagogastric dysphagias...the diagnosis, treatment, and management of gastritis and peptic ulcer disease...the special challenges of treating small-bowel abnormalities...balancing external psychosocial demands of aging with the pathophysiology of colonic disease...disorders of motility in the stomach, small intestine, and colon...the management of ulcerative colitis and Crohn's disease...the gastrointestinal manifestations of neurological, renal, dermatologic, cardiac, endocrine, and autoimmune/rheumatic disorders...and more. Clinical Gastroenterology in the Elderly serves as a practical guide for physicians treating this growing population, including geriatricians, gastroenterologists, internists, primary care physicians, and house officers and residents.

Table of Contents:

Preface
Contributors
1 The Aged in General - Demographics, Physiology, Immunology, and Pharmacology 1
2 Assessment of the Elderly Patient 7
3 Esophageal Disease 13
4 Gastrointestinal Disorders of the Stomach and Duodenum in the Elderly 37
5 Small Bowel 73
6 The Colon 85
7 Anorectal Diseases of the Elderly 101
8 Motility Disorders in the Elderly 115
9 Mesenteric Ischemia 133
10 Inflammatory Bowel Disease 155
11 Liver Disease in the Elderly 167
12 Biliary Disease in the Elderly 185
13 Pancreatic Disease in the Elderly 213
14 Nutrition, Aging, and the Gastrointestinal Tract 227
15 Gastrointestinal Manifestations of Systemic Disorders 241
16 Surgical Considerations 271
17 Geriatric Gastroenterology in the Nursing Home 283
Index 299

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