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Gastrointestinal bleeding in the elderly.

A M Rosen1

  • 1Department of Medicine, University of Illinois College of Medicine at Rockford, USA.

Clinics in Geriatric Medicine
|July 7, 1999
PubMed
Summary

Gastrointestinal bleeding is common in older adults. This review covers diagnosis and management of upper, lower, and obscure GI bleeding, plus fecal occult blood test evaluation in geriatric care.

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Area of Science:

  • Geriatric Medicine
  • Gastroenterology

Background:

  • Gastrointestinal (GI) bleeding is a frequent clinical problem, particularly in the elderly population.
  • Effective management requires understanding age-specific considerations.

Purpose of the Study:

  • To review the diagnosis and management of acute gastrointestinal bleeding in the elderly.
  • To highlight issues specific to geriatric care in GI bleeding.

Main Methods:

  • Literature review focusing on geriatric considerations in GI bleeding.
  • Discussion of upper GI bleeding, lower GI bleeding, and obscure GI bleeding.
  • Evaluation of fecal occult blood tests in the elderly.

Main Results:

  • Geriatric patients present unique challenges in GI bleeding diagnosis and management.
  • Obscure GI bleeding is an increasing concern in this demographic.
  • Specific protocols are needed for evaluating positive fecal occult blood tests in the elderly.

Conclusions:

  • Comprehensive geriatric-focused strategies are essential for managing GI bleeding.
  • Early and accurate diagnosis improves outcomes in elderly patients with GI bleeding.
  • Further research into age-specific treatments for obscure GI bleeding is warranted.

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