PT  - JOURNAL ARTICLE
ED  - Palmer, Robert M.
AU  - Ramirez, Francisco C.
TI  - Diagnosis and treatment of gastroesophageal reflux disease in the elderly
DP  - 2000 Oct 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 755--765
VI  - 67
IP  - 10
4099  - http://www.ccjm.org/content/67/10/755.short
4100  - http://www.ccjm.org/content/67/10/755.full
SO  - Cleve Clin J Med2000 Oct 01; 67
AB  - Gastroesophageal reflux disease poses special diagnostic and therapeutic challenges in the elderly. These patients may not report the classic symptoms of dysphagia, chest pain, and heartburn, and they are more likely to develop severe disease and complications such as esophageal ulceration and bleeding. Therapeutic options include lifestyle changes, medication, and surgery. Polypharmacy and changes in renal, hepatic, and gastrointestinal function can complicate treatment. Proton pump inhibitors can help optimize disease management.