{"title":"The Roles of Complementary Structured Exercise and Physical Therapy in The Aging and Older Adult IBD Patient Care Team.","authors":"Vasantham Chaudhary, Adam S Faye, Jessica R Elia","doi":"10.1007/s11938-026-00499-7","DOIUrl":"10.1007/s11938-026-00499-7","url":null,"abstract":"<p><p>Structured exercise (SE) and physical therapy (PT) are integral components of disease management. Older adults with inflammatory bowel disease (IBD) represent a growing proportion of patients, and are at disproportionate risk of functional decline due to the combined effects of aging, chronic inflammation, malnutrition, and inactivity. Despite the well-established benefits of SE and PT, most gastroenterologists report feeling inadequately equipped to counsel and refer patients with physical function limitations, and thus these therapies remain underutilized. The purpose of this review is to synthesize the existing evidence and provide practical, actionable guidance for gastroenterologists to incorporate SE and PT into IBD care.</p><p><strong>Recent findings: </strong>Initial studies suggest complementary SE and PT may significantly improve IBD-related musculoskeletal extraintestinal manifestations (EIMs), such as joint pain, fatigue, sarcopenia, frailty, and improve exercise confidence as compared with standard care alone. Additionally, multimodal prehabilitation strategies may significantly reduce severe postoperative complications and shorten hospital stays in older patients undergoing IBD-related surgery.</p><p><strong>Summary: </strong>SE and PT are low-cost, low-risk interventions with benefits spanning multiple domains of physical function and morbidity in older adults with IBD. This article highlights pertinent SE and PT literature in the aging IBD population, including underlying pathophysiology, interventions, and scope of practice. Gastroenterologists are provided evidence-based, condition-specific assessments and PT referral pathways that can be implemented in routine practice. Integrating this into the multidisciplinary IBD care team may improve patients' physical function and quality of life.</p>","PeriodicalId":101432,"journal":{"name":"Current treatment options in gastroenterology","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13417832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shaili Babbar, Moniyka Sachar, Adam Faye, Rita M Knotts
{"title":"Esophageal Disorders in the Older Adult.","authors":"Shaili Babbar, Moniyka Sachar, Adam Faye, Rita M Knotts","doi":"10.1007/s11938-025-00468-6","DOIUrl":"10.1007/s11938-025-00468-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>Dysphagia is a common medical condition among the geriatric population that can significantly impact a patient's quality of life. The manifestations, diagnosis, and treatment of esophageal dysphagia differ greatly based on the underlying etiology, especially in older individuals who may have accompanying complex medical comorbidities. This review explores the intricacies of esophageal dysphagia in the older population and how they are managed.</p><p><strong>Recent findings: </strong>Novel modalities, like the functional luminal imaging probe (FLIP) and timed barium esophagram (TBE), are now woven into our diagnostic schemas for esophageal dysphagia. Studies have also looked at the safety profile of available therapeutic interventions for older individuals. There are newer, less invasive treatment options, including radiofrequency application (RFA) and transoral incisionless fundoplication (TIF) for GERD management, that may benefit the geriatric population.</p><p><strong>Summary: </strong>In this review, we discuss the most likely etiologies of esophageal dysphagia in the elderly population. We then explore a diagnostic schema and highlight treatment choices based on diagnosis. Our review specifically explores the risks and benefits of management options in more medically complex geriatric patients.</p>","PeriodicalId":101432,"journal":{"name":"Current treatment options in gastroenterology","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Practical Guide to Nutrition Support in the Oncology Patient: Tips, Tricks, and Ethical Considerations","authors":"L. Russell, A. H. Bode, A. Dengler","doi":"10.1007/s11938-024-00454-4","DOIUrl":"https://doi.org/10.1007/s11938-024-00454-4","url":null,"abstract":"","PeriodicalId":101432,"journal":{"name":"Current treatment options in gastroenterology","volume":"105 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Silvestre, S. Fernandes, Eline de Almeida Soriano, Nádia Juliana Beraldo Goulart Borges Haubert
{"title":"Pharmacotherapy in the Management of Intestinal Failure: An Updated Review of Current Therapies and Beyond","authors":"S. Silvestre, S. Fernandes, Eline de Almeida Soriano, Nádia Juliana Beraldo Goulart Borges Haubert","doi":"10.1007/s11938-024-00455-3","DOIUrl":"https://doi.org/10.1007/s11938-024-00455-3","url":null,"abstract":"","PeriodicalId":101432,"journal":{"name":"Current treatment options in gastroenterology","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fangfang Wang, Michelle F. Sharpe, Jennifer L. Horsley-Silva
{"title":"Dietary Therapy in Eosinophilic Esophagitis","authors":"Fangfang Wang, Michelle F. Sharpe, Jennifer L. Horsley-Silva","doi":"10.1007/s11938-024-00448-2","DOIUrl":"https://doi.org/10.1007/s11938-024-00448-2","url":null,"abstract":"","PeriodicalId":101432,"journal":{"name":"Current treatment options in gastroenterology","volume":"15 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141356690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tools for Bedsite Pain Assessments in Chronic Pancreatitis","authors":"L. Kuhlmann, A. Drewes","doi":"10.1007/s11938-024-00445-5","DOIUrl":"https://doi.org/10.1007/s11938-024-00445-5","url":null,"abstract":"","PeriodicalId":101432,"journal":{"name":"Current treatment options in gastroenterology","volume":"131 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140750854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elena C. Pezzino, Daniel R. Arndorfer, Dustin A. Carlson
{"title":"FLIP in Clinical Practice: When Is It Helpful?","authors":"Elena C. Pezzino, Daniel R. Arndorfer, Dustin A. Carlson","doi":"10.1007/s11938-024-00442-8","DOIUrl":"https://doi.org/10.1007/s11938-024-00442-8","url":null,"abstract":"","PeriodicalId":101432,"journal":{"name":"Current treatment options in gastroenterology","volume":"96 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140377485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Ali, Kimberly Sanders, A. M. McCarthy, Kintin Ng, Ahmad Alkhasawneh, Carmen Isache, Ron Schey
{"title":"Infective Esophagitis: a Review of Esophageal Diseases in HIV","authors":"A. Ali, Kimberly Sanders, A. M. McCarthy, Kintin Ng, Ahmad Alkhasawneh, Carmen Isache, Ron Schey","doi":"10.1007/s11938-023-00435-z","DOIUrl":"https://doi.org/10.1007/s11938-023-00435-z","url":null,"abstract":"","PeriodicalId":101432,"journal":{"name":"Current treatment options in gastroenterology","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138945088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}