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Gastrointestinal bleeding in older adults.

Syed H Tariq¹, George Mekhjian

¹Division of Geriatric Medicine, Department of internal medicine, St. Louis University School of Medicine, Room M-238, 1402 South Grand, St. Louis, MO 63104, USA. tariqsh@slu.edu

Clinics in Geriatric Medicine

|October 10, 2007

Summary

Gastrointestinal bleeding is common in older adults, often complicated by comorbidities and medications. This review covers the presentation, causes, diagnosis, and management of GI bleeding in the elderly.

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Area of Science:

Gastroenterology
Geriatric Medicine

Background:

Gastrointestinal (GI) bleeding is a significant cause of hospitalization in elderly patients.
Comorbidities and polypharmacy in older adults complicate clinical outcomes and management decisions.
Diagnostic and therapeutic approaches for GI bleeding in the elderly are often influenced by resource availability and local expertise.

Purpose of the Study:

To provide a comprehensive overview of gastrointestinal bleeding in older adults.
To discuss the clinical presentation, etiology, diagnostic strategies, and treatment options for elderly patients with GI bleeding.

Main Methods:

This article is a review of current literature and clinical practice regarding gastrointestinal bleeding in the elderly.
It synthesizes information on the unique aspects of GI bleeding in this demographic.

Main Results:

The article details the common presentations and diverse etiologies of upper and lower GI bleeding in older individuals.
It highlights the challenges in diagnosis and treatment due to age-related physiological changes and comorbidities.

Conclusions:

Effective management of gastrointestinal bleeding in older adults requires a tailored approach considering their specific health status and available resources.
Understanding the nuances of GI bleeding in the elderly is crucial for optimizing patient outcomes.