Esophageal Disorders in the Older Adult.

Curr Treat Options Gastroenterol

Division of Gastroenterology & Hepatology, NYU Langone Health, NYU School of Medicine, 240 East 38 Street, 23rd Florr, New York, NY 100216, USA.

Published: December 2025

Purpose Of Review: Dysphagia is a common medical condition among the geriatric population that can significantly impact a patient's quality of life. The manifestations, diagnosis, and treatment of esophageal dysphagia differ greatly based on the underlying etiology, especially in older individuals who may have accompanying complex medical comorbidities. This review explores the intricacies of esophageal dysphagia in the older population and how they are managed.

Recent Findings: Novel modalities, like the functional luminal imaging probe (FLIP) and timed barium esophagram (TBE), are now woven into our diagnostic schemas for esophageal dysphagia. Studies have also looked at the safety profile of available therapeutic interventions for older individuals. There are newer, less invasive treatment options, including radiofrequency application (RFA) and transoral incisionless fundoplication (TIF) for GERD management, that may benefit the geriatric population.

Summary: In this review, we discuss the most likely etiologies of esophageal dysphagia in the elderly population. We then explore a diagnostic schema and highlight treatment choices based on diagnosis. Our review specifically explores the risks and benefits of management options in more medically complex geriatric patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887613PMC
http://dx.doi.org/10.1007/s11938-025-00468-6DOI Listing

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