Geriatric Gastroenterology

As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacolog

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C.S. Pitchumoni



T.S. Dharmarajan

Editors

Geriatric Gastroenterology

Editors C.S. Pitchumoni, MD, MPH, FRCP(C), MACP MACG, AGAF Clinical Professor of Medicine Robert Wood Johnson School of Medicine Drexel University School of Medicine Adjunct Professor of Medicine New York Medical College, Valhalla, NY Chief, Gastroenterology, Hepatology and Nutrition Saint Peter’s University Hospital New Brunswick, NJ, USA

T.S. Dharmarajan, MD, FACP, AGSF Professor of Medicine Associate Dean New York Medical College, Valhalla, NY Vice Chairman, Department of Medicine Clinical Director, Division of Geriatrics Program Director, Geriatric Medicine Fellowship Program Montefiore Medical Center (North Division) Bronx, New York, USA

Please note that additional material for this book can be downloaded from http://extras.springer.com ISBN 978-1-4419-1622-8 ISBN 978-1-4419-1623-5 (eBook) DOI 10.1007/978-1-4419-1623-5 Springer New York Heidelberg Dordrecht London Library of Congress Control Number: 2012938546 © Springer Science+Business Media, LLC 2012 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Dedicated to my parents, My wife, Prema And children Sheila, Shoba and Suresh For love, encouragement and understanding! CSP Dedicated to my mother, My wife, Lekshmi, And, Kumar and Ka