Gastroenterology, An Issue of Clinics in Geriatric Medicine

1st Edition, Volume 37-1 - November 18, 2020
Editors: Amir E. Soumekh, Philip O Katz
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 6 3 4 - 1
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 6 3 5 - 8

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Amir Soumekh and Dr. Philip O. Katz, is devoted to Gastroenterology. Articles in this issue include: Esophageal and… Read more

Gastroenterology, An Issue of Clinics in Geriatric Medicine

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This issue of Clinics in Geriatric Medicine, guest edited by Dr. Amir Soumekh and Dr. Philip O. Katz, is devoted to Gastroenterology. Articles in this issue include: Esophageal and Gastric Motility Disorders, Gastroesophageal Reflux Disease (GERD) and Barrett's Esophagus, Non-steroidal Anti-Inflammatory Drugs (NSAIDS), Anticoagulation and Upper GI Bleeding, Managing Gallstone Disease in the Elderly, Fecal Incontinence, Constipation, Diarrhea, Functional Bowel Disease, Nutrition, Malnutrition and Obesity, Diverticulosis, Diverticulitis and Diverticular Bleeding, Gastrointestinal Bleeding, Colon Cancer Screening, Inflammatory Bowel Disease, and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Esophageal and Gastric Motility Disorders in the Elderly
Key points
Introduction
Esophageal disease
Gastric diseases in elderly
Conditions predisposing the elderly to gastrointestinal motility disturbances
Opiates and the upper gastrointestinal tract
Summary
Gastroesophageal Reflux Disease and Barrett Esophagus in the Elderly
Key points
Introduction
Pathophysiology
Testing
Treatment
Barrett esophagus
Summary
Nonsteroidal Antiinflammatory Drugs, Anticoagulation, and Upper Gastrointestinal Bleeding
Key points
Introduction
Gastrointestinal bleeding
Nonsteroidal antiinflammatory drugs
Gastroduodenal injury
Small bowel injury
Colonic injury
Prevention of nonsteroidal antiinflammatory drug–related injury and risk modifications
Anticoagulation
Preendoscopic management of anticoagulation (urgent vs elective endoscopy)
Summary
Clinics care points
Managing Gallstone Disease in the Elderly
Key points
Introduction
Asymptomatic cholelithiasis
Biliary colic
Acute cholecystitis
Chronic cholecystitis
Choledocholithiasis
Role for sphincterotomy among nonsurgical candidates
Summary
Clinics care points
Fecal Incontinence in the Elderly
Key points
Introduction
Epidemiology and impact
Workup for fecal incontinence
Management
Summary
Evaluation and Treatment of Constipation in the Geriatric Population
Key points
Introduction
Definition of constipation
Special considerations in the elderly
Diagnostic considerations
Lifestyle and dietary modification
Pharmacologic treatments for chronic constipation
Fecal impaction
Biofeedback/visceral manipulation
Surgical interventions
Novel treatments
Opioid-induced constipation
Summary
Clinics care points
Common Diarrheal Illnesses in the Elderly
Key points
Introduction
Infectious diarrhea
Clostridioides difficile infection
Medications
Ischemic colitis
Overflow diarrhea
Malabsorption
Inflammatory bowel disease
Celiac disease
Microscopic colitis
Summary
Clinics care points
Functional Bowel Disease
Key points
Introduction
Epidemiology
Definition
Postinfectious irritable bowel syndrome
Diagnosis
Management
Discussion
Clinics care points
Nutrition and Weight Management in the Elderly
Key points
Introduction
Digestion and metabolism in aging
Nutritional status in the elderly
Summary
Clinics care points
Diverticulosis, Diverticulitis, and Diverticular Bleeding
Key points
Introduction
Epidemiology
Pathophysiology
Presentation, diagnosis, and management
Segmental colitis associated with diverticulosis
Symptomatic uncomplicated diverticular disease
Summary
Clinics care points
Upper Gastrointestinal Bleeding
Key points
Introduction
Risk factors for upper gastrointestinal bleeding
Presentation
Causes
Peptic ulcer disease and Helicobacter pylori
Initial evaluation
Management
Management of anticoagulation in acute upper gastrointestinal bleeding
Clinics care points
Colorectal Cancer Screening in the Elderly
Key points
Introduction
Epidemiology
Colorectal cancer screening guidelines
Colorectal cancer screening modalities
Colorectal cancer screening in the elderly
Colonoscopy in the elderly
Shared decision-making in the elderly
Summary
Clinics care points
Inflammatory Bowel Disease in the Older Adult
Key points
Presentation
Diagnosis
Treatment of inflammatory bowel disease
Surgery in geriatric patients
Special considerations
Summary
Clinics care points

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Amir E. Soumekh