Upper Gastrointestinal Bleeding in the Elderly
| Autor: | Ichiho Nojiri, Masahiro Kato, Korehicho Takagi, Masayoshi Higashijima, Kouji Nishida, Ryukichi Akashi |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Male
medicine.medical_specialty Stomach Diseases Peptic Ulcer Hemorrhage Esophageal and Gastric Varices Gastroenterology Angiodysplasia Melena Internal medicine Hemosuccus pancreaticus Gastroscopy medicine Humans Stomach Ulcer Aged Aged 80 and over business.industry Middle Aged Gastric varices medicine.disease digestive system diseases Esophageal Ulcer Duodenal Ulcer Pancreatitis Female Esophagoscopy Upper gastrointestinal bleeding Geriatrics and Gerontology medicine.symptom Gastrointestinal Hemorrhage business |
| Zdroj: | Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics. 29:829-835 |
| ISSN: | 0300-9173 |
| Popis: | Due to increasing number of the elderly, cases of hematemesis and melena in the aged have been increasing. The authors evaluated 69 such cases over 60 years old in whom emergency endoscopy of the upper digestive tract was carried out because of hematemesis and melena. Twenty cases are diagnosed as gastric ulcer (29%), 12 cases as esophageal ulcer and esophageal erosion (17.4%), 9 as duodenal ulcer (13.0%), 7 as gastric cancer (10.1%), 6 as Mallory-Weiss syndrome (8.7%), 6 as esophageal and gastric varices (8.7%), 4 as acute hemorrhagic gastritis (5.8%), 3 as Dieulafoy's ulcer (4.3%), and one case each of chronic pancreatitis (hemosuccus pancreaticus) and hemorrhage due to gastric angiodysplasia (1.4%). Of these cases, blood transfusion was performed in 46 cases (66.7%), and shock occurred in 27 cases (39.1%). The endoscopical hemostatic procedure was effective for detection of underlying diseases in the aged. Surgery was often impossible because of the rapid deterioration of the systemic condition due to the hemorrhage of the digestive tract. |
| Databáze: | OpenAIRE |
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