title: Reflux and acid peptic diseases in the elderly.
abstract: Gastroesophageal reflux disease (GERD) is a common disorder among elderly patients seeking medical care. Diagnosis and management of GERD in the older patient is a unique challenge for both the primary care provider and the gastroenterologist. Such patients may have atypical symptoms, more severe disease, and a higher rate of complications such as erosive esophagitis, Barrett esophagus, and esophageal cancer. Moreover, the elderly may be more sensitive to the morbidity and mortality of the available treatments for GERD. A careful and vigilant approach to the diagnosis, monitoring, and treatment of reflux disease in the elderly is warranted.
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical College, 1305 York Avenue, 4th Floor, New York, NY 10021, USA.
authors.forename: Amir
authors.initials: A
authors.lastname: Soumekh
authors.forename: Felice H
authors.initials: FH
authors.lastname: Schnoll-Sussman
authors.forename: Philip O
authors.initials: PO
authors.lastname: Katz
mesh_terms: D000368:Aged; D001471:Barrett Esophagus / Q000209:etiology / Q000517:prevention & control; D003937:Diagnosis, Differential; D019468:Disease Management; D042241:Early Diagnosis; D016145:Endoscopy, Digestive System / Q000379:methods*; D004938:Esophageal Neoplasms / Q000209:etiology / Q000517:prevention & control; D004942:Esophagitis, Peptic / Q000209:etiology / Q000517:prevention & control; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006801:Humans; D054328:Proton Pump Inhibitors / Q000627:therapeutic use*; D063189:Symptom Assessment / Q000379:methods
chemical_list: D005765:Gastrointestinal Agents; D054328:Proton Pump Inhibitors
keywords: Barrett esophagus; Elderly; Erosive esophagitis; Gastroesophageal reflux disease; Geriatric; Heartburn; Proton-pump inhibitor