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Upper and lower gastrointestinal bleeding in the elderly.

J F Reinus1, L J Brandt

  • 1Department of Medicine, Montefiore Medical Center, Bronx, New York.

Gastroenterology Clinics of North America
|June 1, 1990
PubMed
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Gastrointestinal bleeding in elderly patients is common but treatable. Age should not prevent aggressive medical care, as older individuals can achieve good outcomes even with surgery.

Area of Science:

  • Gastroenterology
  • Geriatric Medicine

Background:

  • Gastrointestinal bleeding is a frequent and complex issue in the elderly population.
  • Multiple underlying causes contribute to this condition.

Purpose of the Study:

  • To emphasize the need for a systematic diagnostic and treatment approach for elderly patients with gastrointestinal bleeding.
  • To advocate for aggressive medical management regardless of patient age.

Main Methods:

  • Review of clinical approaches to gastrointestinal bleeding in geriatric patients.
  • Analysis of treatment outcomes, including surgical interventions.

Main Results:

  • Elderly patients with upper or lower gastrointestinal bleeding can experience favorable outcomes.

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  • Surgical intervention, when necessary, does not necessarily portend a poor prognosis.
  • Conclusions:

    • A specialized, systematic approach is crucial for diagnosing and managing gastrointestinal bleeding in the elderly.
    • Age alone should not be a barrier to providing comprehensive and aggressive medical care.