Gastric Emptying in the Elderly

Clin Geriatr Med. 2015 Aug;31(3):339-53. doi: 10.1016/j.cger.2015.04.003. Epub 2015 May 11.

Abstract

Aging is characterized by a diminished homeostatic regulation of physiologic functions, including slowing of gastric emptying. Gastric and small intestinal motor and humoral mechanisms in humans are complex and highly variable: ingested food is stored, mixed with digestive enzymes, ground into small particles, and delivered as a liquefied form into the duodenum at a rate allowing efficient digestion and absorption. In healthy aging, motor function is well preserved whereas deficits in sensory function are more apparent. The effects of aging on gastric emptying are relevant to the absorption of oral medications and the regulation of appetite, postprandial glycemia, and blood pressure.

Keywords: Blood pressure; Breath tests; Gastric emptying; Glycemia; Migrating motor complex; Neural and humoral feedback; Scintigraphy; Ultrasonography.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • Aging / physiology*
  • Gastric Absorption / physiology
  • Gastric Emptying / physiology*
  • Gastrointestinal Hormones / metabolism
  • Gastrointestinal Motility / physiology*
  • Humans
  • Myoelectric Complex, Migrating / physiology*

Substances

  • Gastrointestinal Hormones