Geriatric Gastroenterology

ISBN-13: 9783030301910 / Angielski / Twarda / 2021 / 2333 str.

C. S. Pitchumoni; T. S. Dharmarajan

Opis

This book is devoted entirely to gastrointestinal illness in the elderly, covering physiology, disease, nutrition, pharmacology and other relevant associated topics. Covers cancer, abdominal pain, G-I bleeding, constipation and drug induced manifestations.

Spis treści

Part I Perspectives and Trends

1. Geriatric Gastroenterology: the Geriatrician’s Perspective

2. Geriatric Gastroenterology: The gastroenterologist’s perspective 

3. Geriatric gastroenterology: future trends

Part II Basic Sciences, Principles and Epidemiology

4. The Physiology of Aging

5. The Gastrointestinal System and Aging

6. Epidemiology of Gastrointestinal disease

7. Comprehensive Geriatric Assessment

Part III Pharmacology

8. Drug effects on the gastrointestinal tract  

9. Pharmacokinetics of aging  

10. Drug-nutrient interactions  

11. Probiotics

 

Part IV Nutrition

12. Geriatric Nutritional assessment

13. Tube feeding: techniques and procedure

14. Enteral and Parenteral nutrition

15. Ethical aspects, expectations and outcomes associated with PEG in Dementia

16. Water, Potassium, Sodium, and Chloride in Nutrition  

17. Intravenous Fluid Administration

18. B12 and Folic acid

19. Iron, copper and zinc

20. Vitamin D and calcium

21. Dietary Fiber in Health and Disease

22. Healthy Diet for the Older adult

Part V Imaging

23. Endoscopy in Older Adults: Risks, benefits, considerations

24. Wireless capsule endoscopy

25. Gastrointestinal Radiology

26. Advanced Imaging of Geriatric Gastrointestinal Pathology  

Part VI Pathology

27. Laboratory tests in Older Adults: Indications, Interpretations, Issues

28. Gastrointestinal Pathology in the Older Adult

Part VII Motility Disorders

29. Dysphagia        

30. Gastroparesis in older adults

31. Esophageal Reflux disease and its Complications  

Part VIII Signs and Symptoms

32. Abdominal pain

33. Intestinal Gas

34. Constipation

35. Diarrhea            

36. Upper and Lower Gastrointestinal Bleeding

Part IX Hepatobiliary System 

37. Liver function tests and interpretation

38. Viral Liver Diseases

39. Tumors of the liver

40. Non-alcoholic Fatty Liver Disease (NAFLD) and  Non-alcoholic Steatohepatitis (NASH)

41. Drug induced liver injury

42. Gall bladder disease 

Part X Pancreas           

43. Acute Pancreatitis

44. Chronic Pancreatitis

Part XI Luminal disorders

45. Oral health in Older Adults             

46. Small intestinal bacterial overgrowth syndrome

47. Peptic ulcer

48. Irritable bowel syndrome

49. Intestinal ischemia

50. Inflammatory bowel disease

51. Non-IBD and Non-Infectious colitis

52. Celiac disease

53. Diverticular disease

54. Clostridium Difficile Associated Diseases

55. Gastrointestinal Infections

56. Anal Incontinence

57. Rectal prolapse

Part XII Neoplasms

58. Colorectal Cancer Screening In The Older Adult: A Case Based Approach

59. Gastrointestinal polyps

60. Gastric neoplasms   

61. Esophageal cancer

62. Pancreatic cancer

63. Colorectal cancer

Part XIII Palliative Care

64. Palliative Care of GI issues at the End of Life    

Part XIV Surgical Aspects

65. The Surgical Abdomen

66. Colostomy and Ileostomy care

Part XV Systems Disorders 

67. Gastrointestinal and Hepatic Manifestations of Systemic Diseases

68. Abdominal aortic aneurysm

69. Rheumatological manifestations of Gastrointestinal Disease

70. Mucocutaneous manifestations with Gastrointestinal disease

71. HIV disease

72. Gastrointestinal Disorders in the Older Adult: the Psychiatrist’s Role

Part XVI Ancillary Topics

73. Nursing aspects for GI disorders

74. Diabetes and manifestations in the old

75. Imaging of GI disorders, case based 

76. Anemia of GI origin

77. Mesenteric ischemia

78. Anticoagulation in relation to GI disorders

79. Gut microbiota and aging

80. Drug injury to the gastrointestinal tract

81. NPO: benefits and consequences

82. Dysphagia

83. Anorexia of aging

84. Colonic pseudo-obstruction

O autorze

Professor C.S. Pitchumoni is an acclaimed author, a dedicated teacher, a well-published researcher, and an editor of several popular books and prestigious journals in the field of clinical gastroenterology. For his many academic contributions spanning more than five decades at New York Medical College, Robert Wood Johnson School of Medicine, and Drexel University, Dr. Pitchumoni has the rare distinction of being recognized as a master of two leading professional organizations, the American College of Physicians as well as the American College of Gastroenterology. Medical students and residents in internal medicine and fellows in gastroenterology look up to Dr. Pitchumoni, or “Pitch,” as they affectionately call him, fondly remember his guidance during the period of training and beyond for many decades. His mentors in gastroenterology at Yale and New York Medical College, Dr. Howard Spiro, Dr. Martin H Floch, and Dr. Gerzy B Glass, inculcated in him the value of hard work and readiness to share knowledge. Following his role models, he has no desire to retire from teaching and writing. True to his learning, Dr. Pitchumoni xxvii shares his knowledge and experience and continues to teach and help many students worldwide despite the COVID-19 pandemic restrictions.

 Dr. Pitchumoni ’s publication of over 250 articles in major peer-reviewed journals and more than 100 chapters in the reputable textbooks are in addition to 7 edited books. A long period of six decades in academic medicine, Dr. Pitchumoni considers, is a boon to satisfy his desire to learn and teach. The return is his vast knowledge of internal medicine and gastroenterology. 

Dr. Pitchumoni has received various awards and recognitions. The one award that he takes pride in is the recognition by students of Drexel University with the covetable Blockley-Osler award for excellence in teaching clinical medicine at bed side in the tradition of Sir William Osler. The Royal Colleges of Physicians of Ottawa, Canada, and the Royal College of Physicians of Edinburgh have honored Dr. Pichumoni as a fellow of the respective colleges. 

Dr. Pitchumoni is board certi fied in internal medicine, gastroenterology, and clinical nutrition. The MPH quali fication from New York Medical College substantially expands his broad knowledge in clinical medicine, clinical epidemiology, and research methods. With his professional experience at senior levels in teaching and administration for over 50 years, he is currently the emeritus chief of gastroenterology, hepatology, and clinical nutrition at Saint Peters University Hospital, Robert Wood Johnson School of Medicine; emeritus chairman of medicine at Our Lady of Mercy Medical Center of New York Medical College; adjunct Professor of medicine at New York Medical College; and clinical Professor of medicine at Rutgers University. 

The initial publications that brought him to the academic forefront were focused on pancreatology; his pioneering work in the field is well quoted in the literature. 

However, his passion was to be a general gastroenterologist, he expanded his interests to cover nutrition and geriatrics. The desire to emphasize the older adults ’ unique needs encouraged Dr. Pitchumoni to work closely with Professor Dharmarajan, a longtime professional colleague with a similar background and professional xxviii About the Editors achievements. Both the editors, one with tremendous experience in the science of geriatrics and the other an experienced clinical gastroenterologist, perceived the need for a comprehensive book in geriatric gastroenterology. The success of the first edition of Geriatric Gastroenterology by Springer, which was released in 2012, prompted the authors to expand the book with many more chapters in the second edition. The editors expect the same enthusiastic reception for the second edition.

T. S. Dharmarajan, MD, is vice chairman, Department of Medicine; clinical director, Division of Geriatrics; and program director of the geriatric medicine fellowship program at Montefiore Medical Center (Wakefield Campus) Bronx, a University Hospital of Albert Einstein College of Medicine (AECOM), Bronx, New York. He is a Professor of medicine, AECOM, and adjunct Professor of medicine at New York Medical College. He was formerly Professor of medicine and Associate Dean of New York Medical College, Valhalla, New York, and chairman of the Department of Medicine at Our Lady of Mercy Medical Center, until its transition to Montefiore Medical Center. 

Dr. Dharmarajan is certified by the American Boards in Internal Medicine, Nephrology and Geriatric Medicine. He is a fellow of the American Geriatrics Society (AGSF), Master of the American College of Physicians (MACP), and fellow of Royal College of Physicians, Edinburgh (FRCPE). About the Editors xxix 

Dr. Dharmarajan was instrumental in developing a reputable inpatient geriatric medicine program at Our Lady of Mercy Medical Center in the Bronx (currently Monte fiore Medical Center), with clinical, academic, and research components, including a fully accredited fellowship program (for 10 fellows) in geriatrics. 

Dr. Dharmarajan co-edited the textbook Clinical Geriatrics (CRC Press/Parthenon Publishing) released in 2003. His second textbook, Geriatric Gastroenterology (Springer), co-edited with CS Pitchumoni, was released in July 2012. Dr. Dharmarajan authored several chapters in the two books. The latter was a best seller in the Springer category of textbooks. Based on its success, he co-edited Geriatric Gastroenterology, a Major Reference Work (Springer), a far more comprehensive work. His publications in peerreviewed journals and textbooks number around 200. He has over 500 scienti fic presentations (abstracts) in county, state, national, and international conferences. He has been a principal investigator for several research projects, including national multicenter studies for the AMDA Foundation. He won the Howard Gutterman Award for best research project in the National Annual AMDA (2006) meeting; several of his abstracts were winners in county, state, or national society meetings. At Monte fiore, he received the first prize for best clinical science paper published in 2016 and the second prize in 2019. He received a Lifetime Achievement Award at New York City in April 2019 and in the same year received Recognition for Leadership and Community Services from Monte fiore at the tenth anniversary celebrations. 

Dr. Dharmarajan is a regular speaker at local, national, and international conferences. Some of his many recognitions in medicine include: Teacher of the Year; Peer to Peer recognition by the Bronx County Society; Dedication as Teacher and Mentor to young Physicians in the Bronx (from American Assn. of Physicians of Indian origin); and Unparalleled Leadership in the Medical Community for medicine and research (from the Bronx County Society). In 2013, he was featured on the cover of AgingWell magazine, as one of five noteworthy geriatricians. xxx About the Editors Dr. Dharmarajan was the president of the Monte fiore Physician Council, Wake field Campus, for 5 years until 2015; he was a member of the board of trustees at Our Lady of Mercy Medical Center. 

For much of his professional career, Dr. Dharmarajan has been fortunate to be associated with a renowned colleague and master teacher, Professor CS Pitchumoni. During the period that spanned decades, the two initially published a series of articles in the field of geriatric gastroenterology, which caught Springer ’s attention, and became the foundation for the first edition of Geriatric Gastroenterology. The huge success of the first edition laid the platform for the more comprehensive second edition of Geriatric Gastroenterology, the current Major Reference Work.