Massive upper gastrointestinal hemorrhage in the elderly.
Sixty-six elderly patients with massive upper gastrointestinal bleeding were retrospectively analyzed. This study supports the concept of vigorous resuscitation, early diagnosis with fiberoptic endoscopy, and prompt surgical intervention in patients with continued bleeding. When this approach was utilized in a community hospital, operative mortality was reduced to 5 per cent.
D000368:Aged; D004381:Duodenal Ulcer / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D004724:Endoscopy; D005260:Female; D005336:Fiber Optic Technology; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000175:diagnosis; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000601:surgery; D012151:Resuscitation; D012189:Retrospective Studies; D013276:Stomach Ulcer / Q000150:complications / Q000601:surgery