- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Chapter 140 Common geriatric emergencies
- Chapter 141 Management of acute kidney injury and chronic kidney disease
- Chapter 142 Oral health and mouth diseases
- Chapter 143 Gastrointestinal disease in the older population
- Chapter 144 Malabsorption
- Chapter 145 Constipation and faecal incontinence
- Chapter 146 Age-associated breathlessness
- Chapter 147 Anaemia
- Chapter 148 Endocrinology of ageing
- Chapter 149 Sexuality in older persons
- Chapter 150 Skin diseases more common in older adults
- Chapter 151 Common age-related eye diseases and visual impairment
- Chapter 152 Hearing impairments and their treatments
- Chapter 153 Dizziness and vertigo
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 1105) Gastrointestinal disease in the older population
- Chapter:
- (p. 1105) 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.
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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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Chapter 140 Common geriatric emergencies
- Chapter 141 Management of acute kidney injury and chronic kidney disease
- Chapter 142 Oral health and mouth diseases
- Chapter 143 Gastrointestinal disease in the older population
- Chapter 144 Malabsorption
- Chapter 145 Constipation and faecal incontinence
- Chapter 146 Age-associated breathlessness
- Chapter 147 Anaemia
- Chapter 148 Endocrinology of ageing
- Chapter 149 Sexuality in older persons
- Chapter 150 Skin diseases more common in older adults
- Chapter 151 Common age-related eye diseases and visual impairment
- Chapter 152 Hearing impairments and their treatments
- Chapter 153 Dizziness and vertigo
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing