Background/Aims: Hemorrhagic gastric ulcer is a more serious disorder in el
derly patients than in young patients. This study aimed to evaluate the eff
icacy of endoscopic treatment for hemorrhagic gastric ulcer in patients age
d 80 years or more.
Methodology: A total of 269 patients underwent endoscopic treatment for hem
orrhagic gastric ulcer with hemoclipping and pure ethanol injection, either
alone or in combination. These patients were divided into two groups: elde
rly (greater than or equal to 80 years old) and younger (< 80 years) groups
. The clinical data, endoscopic findings and outcomes of endoscopic treatme
nt were compared between these two groups.
Results: Patients in the elderly group had a significantly higher incidence
of concomitant disease (73% vs. 23%, anemia (7.9 +/-2.1g/dL vs. 9.3 +/-2.8
g/dL) and large ulcer (23% vs. 6%) compared with the younger group. However
, all patients in the elderly group underwent endoscopic hemostasis success
fully with no complications and no deaths. The rebleeding rate was not sign
ificantly different (8% vs. 4%) between the two groups.
Conclusions: Elderly patients with hemorrhagic gastric ulcer have high inci
dences of severe ulcer disease and concomitant medical problems. Endoscopic
hemostasis for hemorrhagic gastric ulcer is effective and safe, even for s
uch elderly patients.