Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Gastroesophageal Reflux Disease In The Older Patient | 29419
Journal of Gastrointestinal & Digestive System
Like us on:
Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.
Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal disorder seen in the older patient. Older
patients with GERD may have fewer symptoms. However, they can have more severe esophageal and extraesophageal
complications that may be potentially life threatening than in younger individuals, such as erosive esophagitis, esophageal
stricture, Barrett?s esophagus, adenocarcinoma of the esophagus, atypical chest pain; ear, nose, and throat (ENT) manifestations
such as globus sensation and laryngitis, dental problems; pulmonary problems such as chronic cough, asthma, and pulmonary
aspiration. A more aggressive approach may often be warranted in the older patient, because of the higher incidence of severe
complications. The evaluation and management of GERD are generally the same in both younger and older patients. However,
there are specific issues of causation, evaluation and treatment that must be addressed when dealing with the older patient,
such as cognitive impairment, comorbidities and medication side effects.
Maxwell M. Chait completed his MD degree at the age of 25 from the University of California School of Medicine at San Francisco. He is a Fellow of several
prestigious organizations, including the American College of Physicians, American College of Gastroenterology, American Gastroenterological Association and
the American Society for Gastrointestinal Endoscopy. He is a practicing gastroenterologist and assistant professor of medicine Columbia University College of
Physicians and Surgeons. In New York City He has authored numerous publications in reputed journals. He is the editor-in-chief of the Journal of Liver Disease and
Transplantation and serves on the editorial board of the World Journal of Gastrointestinal Endoscopy.
Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals