Hafter E
Aktuelle Gerontol. 1977 Mar;7(3):147-9.
Functional disorders are frequent in elderly patients. However the high incidence of organic lesions in advanced age demands a most careful examination. Each diagnosis of functional disorders made by exclusion of organic lesions has to be revised, if symptoms persist or symptomatic treatment remains inefficient. Gastroenterological diagnostic should not be restricted to an endoscopic or radiologic glance to the gastrointestinal tract. It includes the less spectacular but more human trial to get an insight to the soul of the patient. This may be more helpful than any treatment with the newest double blind tested medication.
功能障碍在老年患者中很常见。然而,高龄患者器质性病变的高发生率需要进行非常仔细的检查。如果症状持续存在或对症治疗仍然无效,那么每一项通过排除器质性病变做出的功能障碍诊断都必须重新审视。胃肠病学诊断不应局限于对胃肠道进行内镜或放射学检查。它还包括一项不那么引人注目但更有人情味的尝试,即深入了解患者的内心。这可能比使用最新的双盲试验药物进行的任何治疗都更有帮助。