Main description:

Aging trends in the United States and Europe continue to demonstrate an increasingly older society, a trend that is unlikely to change for decades to come. This trend renders it prudent for health care providers to better prepare for the changes in society and their health needs. The current number of older adults (aged over 65), about 13% of the U.S. population, is expected to grow to over 20% in the next 20 years. Preparation for the changes in society involves provision of training for current and future generations of physicians to deal with health problems of older adults.
Training programs in internal medicine and gastroenterology are required to deal with disorders of aging in the present day hospitalized, long-term care and community older adults. Physiological changes and disease processes in older adults differ significantly from those of the young; these are aspects that trainees and practicing physicians need to have an understanding of. Yet texts devoted to gastrointestinal illness in the elderly are scant at this stage and are clearly in demand.
This text provides a comprehensive overview of gastrointestinal disease and disorders in older adults. Divided into sixteen sections, this major reference work covers all aspects of gastroenterology as it pertains to older adults, including epidemiology, gastrointestinal physiology, motility disorders, luminal disorders, hepatobiliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, and gastrointestinal cancer. In addition to fully revised chapters from the previous edition of Geriatric Gastroenterology, the latest edition features new chapters on drug injury to the GI tract, gut microbiota and aging, dysphagia, diabetes and its manifestations, and nursing for GI disorders. Nutrition and related disorders, as well as capsule endoscopy and its utility in the geriatric population, are also highlighted in the text. Presented in a simple, easy to read format, the volume includes numerous figures, tables, and key points to enable ease of understanding.

Contents:

Part I Perspectives and Trends1. Geriatric Gastroenterology: the Geriatrician's Perspective 2. Geriatric Gastroenterology: The gastroenterologist's perspective 3. Geriatric gastroenterology: future trends
Part II Basic Sciences, Principles and Epidemiology4. The Physiology of Aging 5. The Gastrointestinal System and Aging 6. Epidemiology of Gastrointestinal disease 7. Comprehensive Geriatric Assessment
Part III Pharmacology8. Drug effects on the gastrointestinal tract 9. Pharmacokinetics of aging 10. Drug-nutrient interactions 11. Probiotics Part IV Nutrition12. Geriatric Nutritional assessment 13. Tube feeding: techniques and procedure 14. Enteral and Parenteral nutrition 15. Ethical aspects, expectations and outcomes associated with PEG in Dementia 16. Water, Potassium, Sodium, and Chloride in Nutrition 17. Intravenous Fluid Administration 18. B12 and Folic acid 19. Iron, copper and zinc 20. Vitamin D and calcium 21. Dietary Fiber in Health and Disease 22. Healthy Diet for the Older adult
Part V Imaging23. Endoscopy in Older Adults: Risks, benefits, considerations 24. Wireless capsule endoscopy 25. Gastrointestinal Radiology26. Advanced Imaging of Geriatric Gastrointestinal Pathology
Part VI Pathology27. Laboratory tests in Older Adults: Indications, Interpretations, Issues28. Gastrointestinal Pathology in the Older Adult
Part VII Motility Disorders29. Dysphagia 30. Gastroparesis in older adults 31. Esophageal Reflux disease and its Complications
Part VIII Signs and Symptoms32. Abdominal pain 33. Intestinal Gas 34. Constipation 35. Diarrhea 36. Upper and Lower Gastrointestinal Bleeding
Part IX Hepatobiliary System 37. Liver function tests and interpretation 38. Viral Liver Diseases 39. Tumors of the liver 40. Non-alcoholic Fatty Liver Disease (NAFLD) and Non-alcoholic Steatohepatitis (NASH) 41. Drug induced liver injury 42. Gall bladder disease
Part X Pancreas 43. Acute Pancreatitis 44. Chronic Pancreatitis
Part XI Luminal disorders45. Oral health in Older Adults 46. Small intestinal bacterial overgrowth syndrome 47. Peptic ulcer 48. Irritable bowel syndrome 49. Intestinal ischemia 50. Inflammatory bowel disease 51. Non-IBD and Non-Infectious colitis 52. Celiac disease 53. Diverticular disease 54. Clostridium Difficile Associated Diseases 55. Gastrointestinal Infections 56. Anal Incontinence 57. Rectal prolapse
Part XII Neoplasms58. Colorectal Cancer Screening In The Older Adult: A Case Based Approach59. Gastrointestinal polyps 60. Gastric neoplasms 61. Esophageal cancer 62. Pancreatic cancer 63. Colorectal cancer
Part XIII Palliative Care64. Palliative Care of GI issues at the End of Life
Part XIV Surgical Aspects65. The Surgical Abdomen 66. Colostomy and Ileostomy care
Part XV Systems Disorders 67. Gastrointestinal and Hepatic Manifestations of Systemic Diseases 68. Abdominal aortic aneurysm 69. Rheumatological manifestations of Gastrointestinal Disease 70. Mucocutaneous manifestations with Gastrointestinal disease 71. HIV disease 72. Gastrointestinal Disorders in the Older Adult: the Psychiatrist's Role Part XVI Ancillary Topics73. Nursing aspects for GI disorders74. Diabetes and manifestations in the old75. Imaging of GI disorders, case based 76. Anemia of GI origin77. Mesenteric ischemia78. Anticoagulation in relation to GI disorders79. Gut microbiota and aging80. Drug injury to the gastrointestinal tract81. NPO: benefits and consequences82. Dysphagia83. Anorexia of aging84. Colonic pseudo-obstruction