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The Gastrointestinal Tract

  • Young Kim
  • Timothy A. Pritts
Chapter

Abstract

The average life expectancy in the United States is 80 years [1]. With advances in healthcare extending the length and quality of our lives, injuries in the geriatric population continue to be increasingly common. This population harbors multiple medical comorbidities and a decreased physiologic reserve, resulting in higher morbidity and mortality rates following acute trauma [2]. Gastrointestinal injury and illness can be especially devastating among the elderly. The following discussion highlights age-related changes in gastrointestinal physiology, the management of gastrointestinal injury, and other common gastrointestinal diseases affecting the elderly.

Keywords

Gastrointestinal tract GI tract Geriatric Elderly Ileus Ogilvie syndrome 

Abbreviations

AAST

American Association for the Surgery of Trauma

ATLS

Advanced Trauma Life Support

CCK

Cholecystokinin

CDI

Clostridium difficile infection

CT scan

Computed tomography scan

DNA

Deoxyribonucleic acid

EAST

Eastern Association for the Surgery of Trauma

ENS

Enteric nervous system

FAST

Focused assessment with sonography for trauma

GI

Gastrointestinal

HSC

Hematopoietic stem cells

ICU

Intensive care unit

IDSA

Infectious Diseases Society of America

LOS

Length of stay

NK cell

Natural killer cell

NSAID

Nonsteroidal anti-inflammatory drug

OIS

Organ injury scale

SHEA

Society for Healthcare Epidemiology of America

TLR

Toll-like receptor

VTE

Venous thromboembolic event

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Clinical Instructor in SurgeryUniversity of Cincinnati, Department of SurgeryCincinnatiUSA
  2. 2.Divisions of General Surgery and Trauma, Critical Care, and Acute Care SurgeryUniversity of Cincinnati, Department of SurgeryCincinnatiUSA

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