综述文章:老年人酸相关疾病的管理问题

Y. KINOSHITA
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引用次数: 0

摘要

日本人口正在迅速老龄化,加上饮食的西化,预计将增加胃食管反流病的患病率。亚洲胃肠病学家在老年人群胃食管反流病管理中需要注意的问题包括与衰老相关的功能变化,如对酸刺激或疼痛的敏感性较低,导致更不典型的症状,而不是疾病的严重程度,常见的吞咽问题,多药,以及肾脏对药物的代谢较慢。老年人酸相关疾病的最佳管理需要充分解决所有这些问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Review article: management issues in acid-related disorders in the elderly

The population of Japan is rapidly ageing and this, along with the Westernization of the diet, is expected to increase the prevalence of gastro-oesophageal reflux disease.

Issues that call for attention by Asian gastroenterologists in the management of gastro-oesophageal reflux disease in the geriatric population include functional changes associated with ageing, such as a lower sensitivity to acid stimulation or pain leading to more atypical presenting symptoms vs. greater severity of disease, common swallowing problems, polypharmacy, and the slower metabolism of the drugs by the kidney.

The optimal management of acid-related disorders in the elderly will need to adequately address all these issues.

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