{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T10:11:56Z","timestamp":1648807916178},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Was ist neu?<\/jats:title><jats:p>\n          Definition\/Epidemiologie\/Ursachen\u2002\u00dcbelkeit ist, ebenso wie das Erbrechen, ein Symptom und kein eigenst\u00e4ndiges Krankheitsbild. Dies macht eine genaue Angabe der H\u00e4ufigkeit im Alter schwierig. Sch\u00e4tzungsweise jeder 2. bis 3. ist betroffen.<\/jats:p><jats:p>\n          Ver\u00e4nderungen des Magen-Darm-Trakts\u2002\u00dcbelkeit im Alter hat viele m\u00f6gliche Ursachen (zerebral gesteuert oder durch gastrointestinale Ver\u00e4nderungen bedingt). Die physiologische Alterung des Magen-Darm-Trakts bewirkt allein keine \u00dcbelkeit.<\/jats:p><jats:p>\n          M\u00f6gliche Ursachen f\u00fcr \u00dcbelkeit und Erbrechen\u2002Viele Erkrankungen, die geh\u00e4uft im Alter auftreten, k\u00f6nnen urs\u00e4chlich f\u00fcr \u00dcbelkeit und Erbrechen sein. Dazu geh\u00f6ren z.\u200aB. Diabetes mellitus oder Morbus Parkinson. Aber auch die h\u00e4ufig bestehende Multimedikation kann zu gastrointestinalen Symptomen f\u00fchren.<\/jats:p><jats:p>\n          Diagnostik\u2002Basis der Diagnostik sind die detaillierte Anamnese und die gute k\u00f6rperliche Untersuchung. Die weiteren diagnostischen Schritte m\u00fcssen individuell auf den Patienten abgestimmt sein. Eine offizielle Leitlinie zur Diagnostik gibt es nicht.<\/jats:p><jats:p>\n          Therapie\u2002Die Therapie zielt zun\u00e4chst auf die Behandlung der Ursache (urs\u00e4chliche Grunderkrankung(en) oder Multimedikation). Erst im zweiten Schritt sollte eine symptomorientierte Medikation erfolgen. Viele m\u00f6gliche Medikamente sind jedoch beim alten Menschen inad\u00e4quat.<\/jats:p>","DOI":"10.1055\/a-1202-9366","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T22:45:00Z","timestamp":1617057900000},"page":"446-450","source":"Crossref","is-referenced-by-count":0,"title":["Update \u00dcbelkeit und Erbrechen in der Geriatrie"],"prefix":"10.1055","volume":"146","author":[{"given":"Rolf","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Facharzt f\u00fcr Innere Medizin, Geriatrie, Palliativmedizin, internistische Intensivmedizin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2488","DOI":"10.1007\/s10620-014-3181-8","article-title":"GERD symptoms in the general population: prevalence and severity versus care-seeking patients","volume":"59","author":"E 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