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Fecal Incontinence in the Elderly: FAQ
This evidence-based review article discusses the epidemiology, pathophysiology, evaluation, and management of FI in the geriatric population and emphasizes aging-related changes leading to and impacting evaluation and treatment of this symptom while incorporating the core geriatric principles of functional status and management. Expand
Constipation in Elderly Patients with Noncancer Pain: Focus on Opioid-Induced Constipation
The availability of new pharmacologic agents such as the peripherally acting µ-opioid receptor antagonists methylnaltrexone and naloxegol, which target the underlying causes of OIC, and the secretagogue lubiprostone may provide more effective treatment options for elderly patients with OIC. Expand
Complications of and controversies associated with percutaneous endoscopic gastrostomy: report of a case and literature review.
There is a multitude of evidence that artificial nutrition does not improve outcome or quality of life in patients with dementia who have decreased oral intake, and numerous questions remain regarding the utility of nutrition support in many of the clinical scenarios in which PEG placement is contemplated. Expand
Teaching the competencies: using objective structured clinical encounters for gastroenterology fellows.
BACKGROUND AIMS Objective structured clinical encounters (OSCEs) are used widely to educate and assess the competence of medical students and residents; they generally are absent from fellowshipExpand
Teaching the Competencies: Using Observed Structured Clinical Examinations for Faculty Development
An Observed Structured Clinical Exam (OSCE) is developed to assess fellows’ skills and provided faculty with specific criteria to rate the fellows' performance and it is proposed that OSCEs can serve as tools for faculty development in delivering effective feedback. Expand
Gastrointestinal Dysmotility in the Elderly
The age-related changes in GI motility, clinical presentation of GI dysmotility, and therapeutic principles in the symptomatic older patient are reviewed here. Expand
Sedation and analgesia for gastrointestinal endoscopy.
Mperidine was better than the other opioids with regard to patient comfort and amnesia during colonoscopy and Recovery time of the lower gastrointestinal patients was significantly longer in the meperidine group than in the other groups; analgesia scores for sufentanil were significantly lower than for me peridine. Expand
Informed Consent in the Older Adult: OSCEs for Assessing Fellows’ ACGME and Geriatric Gastroenterology Competencies
An objective structured clinical examination (OSCE) is a feasible method for assessing geriatric-related ACGME competencies for fellows and highlights the need for curriculum development. Expand
Management of locally advanced rectal cancer in the elderly: a critical review and algorithm.
The goal of this study is to review the literature on the management of rectal cancer in the elderly and to propose treatment algorithms to help the oncology team in treatment decision-making. Expand