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Gastrointestinal disease in the older population 

Gastrointestinal disease in the older population
Chapter:
Gastrointestinal disease in the older population
Author(s):

Silvia Carrión

and Pere Clavé

DOI:
10.1093/med/9780198701590.003.0143_update_001

Update:

Updated information on effects of delayed gastric emptying.

New references added throughout.

Updated on 24 September 2020. The previous version of this content can be found here.
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date: 24 November 2020

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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