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Pathophysiology and Treatment of Benign Diseases of the Stomach and Duodenum

  • Chapter
Principles and Practice of Geriatric Surgery

Abstract

Evaluation of the elderly patient with complaints of upper abdominal discomfort is often difficult and frustrating for both the patient and the physician. A multitude of processes may have similar presentations, including cardiac, respiratory, renal, and gastrointestinal processes. A malignant process must also be considered more frequently in the elderly patient than in the young or middle-aged patient. In the elderly patient, the presentation of a true pathologic process is often obscured by functional disorders of the upper digestive tract, which accounts for nearly 30% of all office visits.1 Also confounding the evaluation of the elderly patient are the multiple co-morbid disease processes frequently encountered and the polypharmacy treatment regimens administered by different specialists.

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Authors
  1. Robert R. Cima
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  2. David I. Soybel
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Editors and Affiliations

  1. Department of Surgery, Yale University School of Medicine, New Haven, CT, 06520, USA

    Ronnie A. Rosenthal MD (Associate Professor, Chief, Surgical Service) (Associate Professor, Chief, Surgical Service)

  2. Department of Veterans Affairs, VA Connecticut Healthcare System, West Haven, 06516, CT, USA

    Ronnie A. Rosenthal MD (Associate Professor, Chief, Surgical Service) (Associate Professor, Chief, Surgical Service)

  3. Department of Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, 10461, NY, USA

    Michael E. Zenilman MD (Associate Professor and Vice-Chairman, Chief of Surgery) (Associate Professor and Vice-Chairman, Chief of Surgery)

  4. Jack D. Weiler Hospital of the Albert Einstein College of Medicine, Bronx, 10461, NY, USA

    Michael E. Zenilman MD (Associate Professor and Vice-Chairman, Chief of Surgery) (Associate Professor and Vice-Chairman, Chief of Surgery)

  5. Wyoming Valley Surgical Associates, Kingston, 18704, PA, USA

    Mark R. Katlic M.D. (Chief of Thoracic Surgery) (Chief of Thoracic Surgery)

  6. Wyoming Valley Healthcare System, Wilkes-Barre, 18702, PA, USA

    Mark R. Katlic M.D. (Chief of Thoracic Surgery) (Chief of Thoracic Surgery)

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Cima, R.R., Soybel, D.I. (2001). Pathophysiology and Treatment of Benign Diseases of the Stomach and Duodenum. In: Rosenthal, R.A., Zenilman, M.E., Katlic, M.R. (eds) Principles and Practice of Geriatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3432-4_39

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