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Related Experiment Videos

[Massive lower gastrointestinal bleeding in the elderly].

Recep Guloglu1, Cemalettin Ertekin, Orhan Alimoglu

  • 1I.U.Istanbul Tip Fakultesi Genel Cerrahi Anabilim Dali, G Servisi, Istanbul, Turkey. rguloglu@yahoo.com

Ulusal Travma Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|November 5, 2002
PubMed
Summary

Massive lower gastrointestinal bleeding in elderly patients with comorbidities has a high mortality rate. Conservative and endoscopic treatments are recommended as the first choice, as surgery carries significant risks.

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Area of Science:

  • Gastroenterology
  • Geriatric Medicine

Context:

  • Massive lower gastrointestinal bleeding (mLGIB) poses significant challenges in elderly patients.
  • Comorbidities in this demographic can exacerbate bleeding severity and treatment outcomes.

Purpose:

  • To evaluate the outcomes of massive lower gastrointestinal bleeding in elderly patients.
  • To identify factors associated with mortality and guide treatment strategies.

Summary:

  • A retrospective analysis of patients over 60 with mLGIB revealed colonic diverticulosis as the primary cause.
  • The overall mortality rate was 26%, with lower initial diastolic pressure and increased transfusion requirements being significant predictors of mortality.
  • Conservative management and endoscopic interventions were favored over surgery due to high surgical mortality rates.

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Impact:

  • Highlights the increased mortality risk of mLGIB in elderly patients with comorbidities.
  • Emphasizes the importance of prioritizing conservative and endoscopic approaches for diagnosis and treatment in this population.
  • Informs clinical decision-making to improve outcomes for elderly patients experiencing lower gastrointestinal bleeding.