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Drugs & Aging

, Volume 36, Issue 12, pp 1073–1081 | Cite as

Management of Gastroesophageal Reflux Disease in the Elderly Patient

  • Michael Kurin
  • Ronnie FassEmail author
Review Article
  • 72 Downloads

Abstract

Gastroesophageal reflux disease (GERD) is an especially common disorder in the elderly population. Its presentation in this population is often different from that in younger patients. A greater proportion of patients experience atypical GERD symptoms rather than heartburn or regurgitation, increasing the likelihood the diagnosis will be missed or overlooked. Elderly patients more commonly present with severe erosive esophagitis and GERD complications compared with younger patients, and thus may require more aggressive therapy. While diagnostic work-up and management of GERD in elderly patients is similar to the general population and primarily involves acid suppression with endoscopic and surgical techniques reserved for refractory cases, there are many important considerations that are particular to the elderly.

Notes

Compliance with Ethical Standards

Funding

No sources of funding or writing assistance were received for the preparation of this Article.

Conflict of interest

Michael Kurin declares no conflict of interest. Ronnie Fass serves as an advisor to Ironwood, Takeda and Chinoin, speaker for Astrazeneca, Takeda Horizon Cadilla Pharmaceuticals, Diversitek and Eisai, and has received research support from Ironwood and Salix.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Digestive Health InstituteUniversity Hospitals Cleveland Medical CenterClevelandUSA
  2. 2.The Esophageal and Swallowing Center, Digestive Health Center, MetroHealth Medical System, Division of Gastroenterology and HepatologyCase Western Reserve UniversityClevelandUSA

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