ACG GI Disease in the Elderly Series

By 2030, 28 percent of the United States population is expected to exceed 65 years of age. Soon, 77 million “baby boomers” will enter the “elderly” category, defined as patients over the age of 60. This extraordinary growth of elderly patients creates challenging management and logistical problems for the clinician. Co-morbid conditions and concomitant medications, as well as the aging process, may add to the difficulties in diagnosis and mask the classic signs and symptoms of gastrointestinal disease.

Certain pathological conditions preferably afflict older patients, such as vascular disease, neoplasia, atrophic gastritis and impaired gut-related immunity, all of which may coexist with impaired cognition, depression and/or fears of social isolation which create formidable challenges to the clinician.

This series of articles is crafted in a user-friendly “FAQ” format, designed to assist the practitioner in dealing with the multi-faceted problems of gastrointestinal disease in the elderly.

GI Issues in the Elderly Task Force:
Seymour Katz, M.D., MACG, Co-Chair
Christina M. Surawicz, M.D., MACG, Co-Chair
Sita Chokhavatia, M.D., FACG
Darrell S. Pardi, M.D., FACG
John W. Popp, Jr., M.D., FACG
John Robinson Saltzman, M.D., FACG
Brijen Shah, M.D.

GERD and PPIs in the Elderly | March 2011
Shannon Scholl, M.D., MPH
Evan S. Dellon, M.D., MPH
Nicholas J. Shaheen, M.D., MPH, FACG
University of North Carolina at Chapel Hill
Colorectal Cancer Screening in the Elderly Patient | April 2011
Lukejohn W. Day, M.D.
Louise C. Walter, M.D.
Fernando S. Velayos, M.D., MPH
University of California, San Francisco
Inflammatory Bowel Disease of the Elderly: FAQ | August 2011
Seymour Katz, M.D., FACP, MACG1
Darrell S. Pardi, M.D., MS, FACG2
1North Shore University Hospital
2Mayo Clinic Rochester
Chronic Constipation in the Elderly | October 2011
Juan F. Gallegos-Orozco, M.D.
Amy E. Foxx-Orenstein, D.O., FACG
Susan M. Sterler, RN
Jean M. Stoa, RN
Mayo Clinic Scottsdale
Viral Hepatitis in the Elderly | January 2012
Andres F. Carrion, M.D.
Paul Martin, M.D., FACG
University of Miami
Endoscopy in the Elderly | August 2012
Anne C. Travis, M.D., FACG
John R. Saltzman, M.D., FACG
Daniel Pievsky, M.S., R.D.
Brigham and Women’s Hospital
Fecal Incontinence in the Elderly: FAQ | September 2012
Brijen J. Shah, M.D.
Sita Chokhavatia, M.D., FACG
Suzanne Rose, M.D., MSEd, FACG
Mt. Sinai School of Medicine