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Gastrointestinal disease in the older population 

Gastrointestinal disease in the older population
Gastrointestinal disease in the older population
Oxford Textbook of Geriatric Medicine (3 edn)

Silvia Carrión

and Pere Clavé

Previous versions of this chapter are available. To view earlier versions of this chapter view the full site here.

Gastrointestinal (GI) symptoms and disorders are common, affecting over a third of people aged 65+. Clinical management is often complicated by co-existing cognitive and mood disorders, multimorbidity, polypharmacy, and frailty. The prevalence of oropharyngeal and upper oesophageal motility disorders, gastrointestinal motility, and immunity alterations, colonic adenomas, and GI tract cancers increase with age. Many GI functions are preserved in healthy older age, but may be altered by environmental/lifestyle exposures including drugs and toxic habits and frailty. This chapter complements others which deal with some of the common GI related issues affecting older people: epidemiology of malnutrition; anorexia of ageing; oral health and disease; malabsorption; faecal incontinence and constipation.

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