Endoscopic treatment of hemorrhagic gastric ulcer in patients aged 80 years or more

Citation
Y. Yamaguchi et al., Endoscopic treatment of hemorrhagic gastric ulcer in patients aged 80 years or more, HEP-GASTRO, 48(40), 2001, pp. 1195-1198
Citations number
24
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Gastroenerology and Hepatology","da verificare
Journal title
HEPATO-GASTROENTEROLOGY
ISSN journal
0172-6390 → ACNP
Volume
48
Issue
40
Year of publication
2001
Pages
1195 - 1198
Database
ISI
SICI code
0172-6390(200107/08)48:40<1195:ETOHGU>2.0.ZU;2-8
Abstract
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.