Esophageal and Gastric Motility Disorders in the Elderly.

Morgan A Sendzischew Shane, Baharak Moshiree

Journal: Clinics in geriatric medicine 2021;37(1):1-16

PMID: 33213764

Full Text on Elsevier Science View on PubMed

Abstract

The elderly are particularly prone to developing upper gastrointestinal disturbances. Changes are due to the aging process, diabetes, cardiovascular risk factors, and neurologic issues. Medications used to treat these underlying conditions can cause gastrointestinal symptoms. Dysphagia is common and can be oropharyngeal and/or esophageal. Gastroparesis is due to either medications such opiates, or due to neurologic sequala of diabetes, cerebrovascular accidents, or neurologic diseases such as Parkinson's disease. Given limitations in many commonly used prokinetics with a wide range of side effect profiles including neurologic and cardiac, the focus of treatment should be on symptom management with dietary changes.

Address: Division of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine, 1120 Northwest 14th Street, CRB 1184, Miami, FL 33136, USA. Electronic address: [email protected].; Atrium Health-Charlotte, UNC School of Medicine, Charlotte Campus, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC 28204, USA.

DOI: 10.1016/j.cger.2020.08.002

Link outs

Free resources

Other Literature Sources:

https://scite.ai/reports/33213764

Subscription / membership required

Full Text Sources:

MeSH Terms: Aged, Deglutition Disorders, Esophageal Motility Disorders, Gastric Emptying, Gastrointestinal Motility, Gastroparesis, Humans