Ruppin H
Kreiskrankenhaus Tauberbischofsheim.
Z Gerontol. 1992 Sep-Oct;25(5):286-8.
During aging, secretion and motility of the upper GI tract slow down. The reduction of these functions, however, does not create complaints. In the higher age groups, a number of symptoms from age-dependent diseases occur more frequently, e.g., dysphagia in response to cerebral ischemia, or disturbed gastric emptying caused by diabetic visceral neuropathy. Moreover, certain GI diseases occur more often in the elderly, e.g., chronic atrophic gastritis, NSAR-induced gastric ulcers, malignancies, and others. In contrast, almost nothing is known about diseases or symptoms of the GI tract that might be specific for the elderly. With only a few exceptions, there are no age-dependent clinical differences. Nevertheless, intestinal diseases often develop more rapidly and the mortality is higher in the elderly than in younger people.
在衰老过程中，上消化道的分泌和蠕动会减慢。然而，这些功能的减退并不会引发不适。在较高年龄组中，一些与年龄相关疾病的症状会更频繁地出现，例如因脑缺血导致的吞咽困难，或由糖尿病性内脏神经病变引起的胃排空障碍。此外，某些胃肠道疾病在老年人中更常见，例如慢性萎缩性胃炎、非甾体抗炎药引起的胃溃疡、恶性肿瘤等。相比之下，对于可能是老年人特有的胃肠道疾病或症状却知之甚少。除了少数例外，不存在与年龄相关的临床差异。尽管如此，肠道疾病在老年人中往往发展得更快，死亡率也比年轻人更高。
