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Related Experiment Videos

[Post operative upper gastrointestinal bleeding in the aged].

M Yoshida1, T Takahashi, H Hashimoto

  • 1Department Surgery, Tokyo Metropolitan Geriatric Hospital, Japan.

Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

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Postoperative upper gastrointestinal bleeding occurred in 0.7% of elderly patients undergoing non-GI surgery. Prophylactic H2-blockers reduced bleeding incidence, but mortality remained high due to other complications.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Geriatric Medicine

Context:

  • Postoperative upper gastrointestinal bleeding (PUGIB) is a significant complication in elderly patients undergoing non-gastrointestinal surgery.
  • Understanding incidence and risk factors is crucial for improving patient outcomes.
  • A 10-year review of 2,441 patients aged over 65 provides valuable data on this issue.

Purpose:

  • To evaluate the incidence of PUGIB in elderly patients undergoing non-upper gastrointestinal surgery.
  • To identify clinical risk factors associated with PUGIB.
  • To assess the efficacy of H2-blockers in preventing and treating PUGIB.

Summary:

  • A total of 18 patients (0.7%) experienced PUGIB, with higher incidences noted after operations for biliary/pancreatic disease, colorectal cancer, and obstructive jaundice.

Related Experiment Videos

  • Gastric ulcers and acute gastric mucosal lesions were the most common bleeding sources.
  • All bleeding was successfully treated with H2-blockers, but 5 patients died from multiple organ failure.

    • Impact:

    • Prophylactic H2-blocker use demonstrated a decrease in PUGIB occurrence.
    • Despite successful hemostasis, mortality highlights the complex nature of postoperative complications in the elderly.
    • Findings emphasize the need for targeted preventative strategies and vigilant postoperative monitoring in at-risk elderly surgical patients.