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[Gastrointestinal bleeding in the elderly].

Authors
  • Glaser, J
Type
Published Article
Journal
Zentralblatt für Chirurgie
Publication Date
Aug 01, 2014
Volume
139
Issue
4
Pages
411–414
Identifiers
DOI: 10.1055/s-0032-1328036
PMID: 23460102
Source
Medline
License
Unknown

Abstract

Peptic ulcer disease is a common cause of gastrointestinal bleeding, independent of the patient's age. With advancing age, an increase of lower gastrointestinal bleeding (diverticula, angiodysplasia) has been observed. The administration of non-steroidal anti-inflammatory drugs and aspirin is an important risk factor for upper and lower gastrointestinal bleeding, thus in patients aged 65 years and more a concomitant therapy with proton pump inhibitors is recommended in order to prevent ulcer bleeding. Even in very old individuals endoscopy should be used for the diagnosis of gastrointestinal bleeding, providing the opportunity for definite endoscopic bleeding therapy. In elderly patients with comorbidities and recurrent bleeding after endoscopic therapy or continuous blood loss, surgery or transarterial embolisation should be considered in good time.

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