Document Detail

Gastroesophageal reflux disease in the older patient: presentation, treatment, and complications.
MedLine Citation:
PMID:  10685737     Owner:  NLM     Status:  MEDLINE    
Gastroesophageal reflux disease (GERD) is common in the elderly. Patients often complain of less severe or frequent heartburn than their younger cohorts, but because of prolonged acid exposure over many years, the elderly have more complicated reflux disease including esophagitis, peptic strictures, and Barrett's esophagus. Potential factors aggravating GERD in the elderly include medications, which reduce lower esophageal sphincter pressure, higher frequency of hiatal hernia, impaired motility, and decreased saliva volume and bicarbonate concentration. Early endoscopy is indicated in all elderly patients with GERD, regardless of symptom severity. The medical and surgical treatment of GERD in the elderly generally follows the same principles as for any adult patient.
J E Richter
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  95     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-03-08     Completed Date:  2000-03-08     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  368-73     Citation Subset:  IM    
Department of Gastroenterology, Cleveland Clinic Foundation, Ohio 44195, USA.
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MeSH Terms
Age Factors
Barrett Esophagus / etiology
Drug Therapy / adverse effects
Esophageal Motility Disorders / complications
Esophageal Stenosis / etiology
Esophagitis, Peptic / etiology
Esophagogastric Junction / drug effects
Gastroesophageal Reflux / complications,  diagnosis*,  therapy
Heartburn / etiology
Hernia, Hiatal / complications
Middle Aged

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