Download Geriatrics 2: Digestive System · Endocrine System Kidney and by A. M. Gelb, B. Straus (auth.), Professor Dr. med. Dieter PDF

By A. M. Gelb, B. Straus (auth.), Professor Dr. med. Dieter Platt (eds.)

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Read or Download Geriatrics 2: Digestive System · Endocrine System Kidney and Urogenital System Haematological System · Respiratory System Rehabilitation · Nutrition · Drug Treatment PDF

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Extra info for Geriatrics 2: Digestive System · Endocrine System Kidney and Urogenital System Haematological System · Respiratory System Rehabilitation · Nutrition · Drug Treatment

Example text

Whether there are abnormalities in the basic electric rhythm of the upper tract in irritable gut syndrome, as has been demonstrated in the colon, is unknown. The participation of the stomach in adaptive behavior has been shown (ALMY 1978). Anger, hostility, and resentment are associated with hypermotility and hypersecretion. Depression is associated with hypofunction. It is not clear whether older 12 A. M. GELB and B. STRAUS patients have more functional complaints, but many clinicians have that impression.

This formerly uniformly fatal disease responds to antibiotic treatment. 11. Short Bowel Syndrome Short bowel syndrome after intestinal resection is an important cause of malabsorption in the elderly beause of the incidence of mesenteric infarction discussed above. The morbidity is related to the site and extent of resection (WESER 1976). Jejunal resection is tolerated better than ileal resection because the ileum has the capacity to adapt and is the site of bile acid absorption. As much as a 50% resection of the proximal jejunum and midbowel is fairly well tolerated.

Amylase, trypsin, total volume, and bicarbonate were not altered. Response to stimulation of the pancreas by injections of pancreozymin and secretin in terms of volume was not affected by age, but response to repeated stimulation was diminished in the elderly. II. Diagnostic Modalities 1. Radiography Conventional radiography of the pancreas may sometimes be helpful. A flat plate may show calcifications in the pancreas. Barium studies may show extrinsic pressure on the duodenum or stomach. Extrinsic pressure on the duodenum can be brought out more clearly with the use of hypotonic duodenography.

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