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Digital Seminar

Geriatric GI Dilemmas: Insights and Tools from a Clinical Gastroenterologist

Peter Buch, MD, AGAF, FACP
1 Hour 01 Minutes
Audio and Video
Copyright :
Nov 10, 2020
Product Code:
Media Type:
Digital Seminar - Also available: DVD


Have you ever encountered these patient situations in your practice?  

  • Margaret, age 82, comes to your office for a screening colonoscopy.  She is very healthy and has never had a previous screening colonoscopy. Should she have one?
  • Joan, age 74, had a normal screening colonoscopy 3 years ago and now has rectal bleeding. She asks you what to do now.
  • Sam, age 86, has been hospitalized twice in the past three years for bleeding duodenal ulcers. He stopped his Proton Pump Inhibitor because he read that it causes dementia and heart attacks…

In just one hour of time…discover the answers to these and many other GI dilemmas from expert Peter Buch, MD, FACG, AGAF, FACP.  Dr. Buch’s approach is case based, practical, very interactive and fun.  You are guaranteed to acquire new clinical tools and insights to help you address the unique GI challenges with your geriatric patients.



NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 1.0 contact hours. Expires: .

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

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Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 1.0 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 1.0 hours for completing this self-study program. This activity was originally recorded on 11/10/2020. It was last reviewed on 03/15/2021 and is valid until 03/15/2024. 


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.

Other Professions

This self-study activity qualifies for 1.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Peter Buch, MD, AGAF, FACP Related seminars and products

Peter Buch is a clinical gastroenterologist with over 30 years of specialty experience to draw from. He completed his internship and Residency in Internal Medicine and his Fellowship in Gastroenterology at Long Island Jewish-Hillside Medical Center. His current practice is in Manchester, Connecticut, where he has assembled a team that treats all GI conditions. "We pride ourselves on giving each patient the time and care they need," says Dr. Buch. This has resulted in outstanding patient evaluations and much better outcomes. 
Dr. Buch has a passion for teaching. His expertise has been shared with experienced clinicians and advanced level students. He teaches at the University of Connecticut School of Medicine, the University of New England College of Osteopathic Medicine, the Frank H Netter School of Medicine/Quinnipiac University and the University of Connecticut APRN School. Dr. Buch's style is case-based, practical, very interactive and fun. Upon completion of his seminar, you will have a virtual toolbox of new clinical ideas. He ALWAYS learns from his audiences and looks forward to learning with you! 
Speaker Disclosures: 
Financial: Peter Buch is an Associate Clinical Professor of Medicine at the University of Connecticut School of Medicine; and at the University of New England College of Osteopathic Medicine. He is an Association Professor at Frank H. Netter School of Medicine/Quinnipiac University. Dr. Buch receives a speaking honorarium from AbbVie Synergy Pharmaceuticals. Peter Buch receives a speaking honorarium from PESI, Inc. 
Non-financial: Peter Buch is a member of the American College of Gastroenterology where he serves on the FDA Committee and the Patient Care Committee. 
Content Disclosure: 
Dr. Buch references the use of antidepressants for Irritable Bowel Syndrome; and the controversial use of Fibrotest to evaluate patients with fatty liver disease who may have fibrosis of the liver. Dr. Buch indicates he wishes to present a fair and balanced approach to practitioners regarding such practices.

Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


  1. Develop a plan of care when a screening colonoscopy is not an option for a patient.
  2. Analyze special GI considerations through geriatric case studies.


Special Considerations in the Elderly 

  • Peptic Ulcer Disease
  • Proton Pump Inhibitor Use
  • Constipation
  • Colonoscopic Evaluations
  • Rectal Bleeding
  • What practical steps can we use to safely treat this patient group?
  • What pitfalls must we avoid?

Colonoscopy is Not for Everyone/Alternative Pros and Cons

  • Guaiac Tests
  • FIT Tests
  • Cologuard Tests
  • Virtual Colonoscopy
  • At what age should we stop utilizing screening colonoscopies?

What are Alarm Symptoms? 

  • How are they useful in my practice?

How safe are Proton Pump Inhibitors?

  • Are we overprescribing PPIs?

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physician Assistants


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