GI problems in the elderly, Part I: Aging-related considerations.
Gastrointestinal problems are very common in the elderly; they account for 20% of all geriatric deaths. The evaluation of gastrointestinal ailments is difficult in the aged due to variation in signs and symptoms, coexisting nutritional problems, lack of patient cooperation, presence of comorbidity, and effects of polypharmacy. Poor clinical histories are common and gastrointestinal ailments may be atypical. Non-compliance with therapy and testing is a common problem and unrealistic expectations from interventions are the rule rather than the exception. Iatrogenic disorders must be ruled out in all patients with gastrointestinal symptoms; an accurate drug and nutritional history is critical for achieving success in the management of the elderly.
University of Illinois Abraham Lincoln Medical School, Chicago.
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D000368:Aged; D000375:Aging; D005767:Gastrointestinal Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007049:Iatrogenic Disease; D010349:Patient Compliance