Acid peptic disease in the elderly

Citation
Ed. Linder et Cm. Wilcox, Acid peptic disease in the elderly, GASTRO CLIN, 30(2), 2001, pp. 363
Citations number
94
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Gastroenerology and Hepatology
Journal title
GASTROENTEROLOGY CLINICS OF NORTH AMERICA
ISSN journal
0889-8553 → ACNP
Volume
30
Issue
2
Year of publication
2001
Database
ISI
SICI code
0889-8553(200106)30:2<363:APDITE>2.0.ZU;2-B
Abstract
Gastroesophageal reflux disease (GERD) and peptic ulcer disease are importa nt diseases in the elderly. GERD presents similarly in the elderly and the young, although the elderly may have less severe symptoms yet more severe m ucosal disease and a higher prevalence of Barrett's esophagus. Although the prevalence of H. pylori is falling, the elderly will remain at risk for pe ptic ulcer disease because of the widespread use of NSAIDS. The presentatio n of peptic ulcer disease in the elderly can be subtle and atypical when co mpared with younger patients, thereby leading to a delay in diagnosis. In a ddition, because of comorbidity in the aged, peptic ulcer disease and its c omplications result in increased morbidity and mortality rates.