The aging gastrointestinal tract: digestive and motility problems

Camilleri, Michael

doi:10.1002/9781119600206.ch26

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Nursing management of GI disorders in older adults often requires tailored symptom management support, rapid decision-making, and care coordination. Older adults have high rates of gastric dysmotility, dysphasia, constipation, and gastroesophageal reflux disease (Camilleri, 2015). Often, these conditions are managed outpatient in the community, with caregivers participating heavily in care.…”

Section: Caregivers and Gi Disorders In Older Adultsmentioning

confidence: 99%

How Can Gi Nurses Support Caregivers?

McHugh

2023

Gastroenterology Nursing

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T he 2022 National Strategy to Support Family Caregivers was constructed to support the growing population of over 53 million family caregivers living in the United States (aaRP and National alliance for Caregiving, 2020; The Recognize, assist, Include, Support, and Engage [RaISE] act Family Caregiving advisory Council & The advisory Council to Support Grandparents Raising Grandchildren, 2022). More than one in five americans are caregivers, providing extensive, unpaid support to family members or friends with personal care, meal preparation, transportation, education, and financial management, among other essential tasks (aaRP and National alliance for Caregiving, 2020). The National Strategy to Support Family Caregivers highlights the enormous value of caregivers, who provide an estimated economic value of $600 billion of unpaid care at significant personal expense (Reinhard, Caldera, Houser, & Choula, 2023). The purpose of the National Strategy to Support Family Caregivers is to recognize, assist, include, support, and engage family caregivers through the aligned actions of federal, state, and community organizations. These ongoing efforts are also a critical reminder to gastroenterology nurses to integrate caregivers in the provision of high-quality gastrointestinal (GI) care.Caregiving intersects the experiences of individuals of all genders, races, ages, and socioeconomic backgrounds. While many caregivers report positive impacts resulting from their caregiving responsibilities, many also report extensive mental, physical, and financial impacts resulting from the management of the complex care needs of their care recipients (aaRP and National alliance for Caregiving, 2020). Some caregivers experience loneliness and isolation due to the time constraints of caregiving; others experience high levels of stress and burden, which may influence caregivers' quality of life (aaRP and National alliance for Caregiving, 2020). additionally, many caregivers report high financial contributions on behalf of their care recipients, with the average

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Section: Caregivers and Gi Disorders In Older Adultsmentioning

confidence: 99%

How Can Gi Nurses Support Caregivers?

McHugh

2023

Gastroenterology Nursing

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“… 4 In people and dogs, type III myenteric motor complexes (MMC III) are stimulated by motilin and are primarily responsible for interprandial GI motility. 5 While MMC III do not appear to occur in cats, 4 motilin receptors associated with smooth muscle have been identified in the GI tract of the cat, with the highest concentrations found in the gastric antrum and duodenum. 6 Additionally, multiple studies have demonstrated that motilin or motilin agonists enhance GI motility in cats.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic evaluation of the effects of azithromycin on antral motility and gastric emptying in healthy cats

Rutherford

Gaschen

Husník

et al. 2022

Veterinary Internal Medicne

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Background Erythromycin, a macrolide antibiotic with motilin agonist properties, shortens gastric emptying (GE) time in healthy cats. Azithromycin, another macrolide antibiotic, is effective for treatment of gastric paresis in people. Objectives To evaluate the effects of azithromycin on GE and gastric motility in healthy cats in comparison with erythromycin (positive control) and placebo. Animals Eight healthy purpose‐bred cats. Methods Prospective, blinded, crossover study. Cats received either azithromycin (3.5 mg/kg PO q24h), erythromycin (1 mg/kg PO q8h), or placebo for 24 hours before and during evaluation of GE. A validated method using ultrasound for sequential measurements of antral area as well as amplitude and frequency of contractions was used to assess GE and evaluate gastric antral motility postprandially over an 8‐hour period. Results GE was significantly faster (P < .05) after administration of azithromycin and erythromycin when compared to placebo in the late phase of fractional emptying from 75% (mean ± SD: 327 ± 51 minutes, 327 ± 22 minutes, and 367 ± 29 minutes, respectively), to 95% fractional emptying (399 ± 52 minutes, 404 ± 11 minutes, and 444 ± 24 minutes, respectively). The drugs had no significant effect on antral motility variables at any time point. Conclusions and Clinical Importance Azithromycin and erythromycin shorten GE time in a comparable manner in healthy cats. Evaluation of their efficacy in cats with gastric dysmotility is warranted.

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The aging gastrointestinal tract: digestive and motility problems

Cited by 2 publications

References 9 publications

How Can Gi Nurses Support Caregivers?

How Can Gi Nurses Support Caregivers?

Ultrasonographic evaluation of the effects of azithromycin on antral motility and gastric emptying in healthy cats

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