Clinical investigations on the recurrence of gastric ulcer in the aged. From the viewpoint of G.I. bleeding.
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- Muto Nobuyoshi
- The 6th Department of Internal Medicine, Tokai University, School of Medicine
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- Shiina Yasubumi
- The 6th Department of Internal Medicine, Tokai University, School of Medicine
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- Senoue Issei
- The 6th Department of Internal Medicine, Tokai University, School of Medicine
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- Harasawa Shigeru
- The 6th Department of Internal Medicine, Tokai University, School of Medicine
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- Miwa Takeshi
- The 6th Department of Internal Medicine, Tokai University, School of Medicine
Bibliographic Information
- Other Title
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- 老年者胃潰ようの再発に関する検討 上部消化管出血に焦点をあわせて
- From the Viewpoint of G. I. Bleeding
- 上部消化管出血に焦点をあわせて
Abstract
We have investigated clinically the recurrence of gastric ulcer in the aged population and have compared those cases with G. I. bleeding. Our hospital has experienced total of 367 cases of gastric ulcer from 1981 to 1985 of this number, we have chosen to study 74 cases over 65 years of age. The percentage of elderly subjects among all patients with gastric ulcers has remained constant during the period of this study. The most frequent location for the gastric ulcer was in the higher portions of the stomach. Those patients with oral-side bleeding also had hypoacidity. In comparing cases associated with bleeding to those without bleeding, there was no significant differences in clinical pathophysiology. Recurrent gastric ulcers were found in 16% of the bleeding patients, all were male and without significant differences in history of G. I. bleeding. The most frequent location for ulcer recurrenced was on the angulus of the stomach. Endoscopic hemostasis by local injection of absolute ethanol was successful in all cases. Bleeding did not recur in these patients. The need for emergency operation for G. I. bleeding decreased during the 5 year period of this study.
Journal
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- Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 24 (3), 278-283, 1987
The Japan Geriatrics Society
