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Acute upper gastrointestinal bleeding in the elderly : aetiology, diagnosis and treatment.
MedLine Citation:
PMID:  23192436     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Acute upper gastrointestinal bleeding (UGIB) is a common, potentially life threatening medical emergency. It is associated with higher rates of hospitalization, morbidity and mortality in the elderly when compared with younger patients, most likely due to higher prevalence of multiple comorbidities. Age is an independent risk factor for mortality in UGIB, with Helicobacter pylori infection and the use of non-steroidal anti-inflammatory agents and anticoagulants being the most prevalent causal risk factors. These patients require early risk assessment, resuscitation and an attempt to identify and treat the bleeding source. In the majority, this involves early endoscopy and endotherapy as required to achieve haemostasis, with radiological intervention or surgery needed in the minority with ongoing severe bleeding. In this article, we discuss UGIB in the elderly, focusing on aetiology, risk factors and management.
Authors:
Asma Ahmed; Adrian J Stanley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Drugs & aging     Volume:  29     ISSN:  1170-229X     ISO Abbreviation:  Drugs Aging     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102074     Medline TA:  Drugs Aging     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  933-40     Citation Subset:  IM    
Affiliation:
Gastroenterology Unit, Glasgow Royal Infirmary, Castle St, Glasgow, G4 OSF, UK.
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