As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly.

This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults.

Inhalt

Geriatric Gastroenterology: the Geriatrician's Perspective.- Geriatric Gastroenterology: The gastroenterologist's perspective.- Geriatric gastroenterology: future trends.- The Physiology of Aging.- The Gastrointestinal System and Aging.- Epidemiology of Gastrointestinal disease.- Comprehensive Geriatric Assessment.- Drug effects on the gastrointestinal tract.- Pharmacokinetics of aging.- Drug-nutrient interactions.- Probiotics.- Geriatric Nutritional assessment.- Tube feeding: techniques and procedure.- Enteral and Parenteral nutrition.- Ethical aspects, expectations and outcomes associated with PEG in Dementia.- Water, Potassium, Sodium, and Chloride in Nutrition.- Intravenous Fluid Administration.- B12 and Folic acid.- Iron, copper and zinc.- Vitamin D and calcium.- Dietary Fiber in Health and Disease.- Healthy Diet for the Older adult.- Endoscopy in Older Adults: Risks, benefits, considerations.- Wireless capsule endoscopy.- Gastrointestinal Radiology.- Advanced Imaging of Geriatric Gastrointestinal Pathology.- Laboratory tests in Older Adults: Indications, Interpretations, Issues.- Gastrointestinal Pathology in the Older Adult.- Dysphagia.- Gastroparesis in older adults.- Esophageal Reflux disease and its Complications.- Abdominal pain.- Intestinal Gas.- Constipation.- Diarrhea.- Upper and Lower Gastrointestinal Bleeding.- Liver function tests and interpretation.- Viral Liver Diseases.- Tumors of the liver.- Non-alcoholic Fatty Liver Disease (NAFLD) and Non-alcoholic Steatohepatitis (NASH).- Drug induced liver injury.- Gall bladder disease.- Acute Pancreatitis.- Chronic Pancreatitis.- Oral health in Older Adults.- Small intestinal bacterial overgrowth syndrome.- Peptic ulcer.- Irritable bowel syndrome.- Intestinal ischemia.- Inflammatory bowel disease.- Non-IBD and Non-Infectious colitis.- Celiac disease.- Diverticular disease.- Clostridium Difficile Associated Diseases.- Gastrointestinal Infections.- Anal Incontinence.- Rectal prolapse.-Colorectal Cancer Screening In The Older Adult: A Case Based Approach.- Gastrointestinal polyps.- Gastric neoplasms.- Esophageal cancer.- Pancreatic cancer.- Colorectal cancer.- Palliative Care of GI issues at the End of Life.- The Surgical Abdomen.- Colostomy and Ileostomy care.- Gastrointestinal and Hepatic Manifestations of Systemic Diseases.- Abdominal aortic aneurysm.- Rheumatological manifestations of Gastrointestinal Disease.- Mucocutaneous manifestations with Gastrointestinal disease.- HIV disease.- Gastrointestinal Disorders in the Older Adult: the Psychiatrist's Role.