• Am. J. Med. · Jun 2010

    Review

    Review: treatment of gastroesophageal reflux disease in the elderly.

    • Choo Hean Poh, Tomás Navarro-Rodriguez, and Ronnie Fass.
    • The Neuroenteric Clinical Research Group, Department of Medicine, Section of Gastroenterology, Southern Arizona VA Health Care System, Tucson, AZ 85723-0001, USA.
    • Am. J. Med. 2010 Jun 1; 123 (6): 496-501.

    AbstractThe prevalence of gastroesophageal reflux disease (GERD) increases with age; older patients are more likely to develop severe disease. Common symptoms of GERD in the elderly include dysphagia, vomiting, and respiratory problems. Older patients are more likely to require aggressive therapy, and usually their management is compounded by the presence of comorbidities and consumption of various medications. Proton pump inhibitors are the mainstay of GERD treatment in the elderly because of their profound and consistent acid suppressive effect. Overall, proton pump inhibitors seem to be safe for both short- and long-term therapy in elderly patients with GERD. Antireflux surgery may be safe and effective in a subset of elderly patients with GERD.Published by Elsevier Inc.

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