[Upper gastrointestinal haemorrhage in the patients aged over 65 years. The contribution of endoscopy (author's transl)].
One hundred and eighty four patients aged over 65 years and hospitalised for gastrointestinal haemorrhage of high origin underwent emergency oesophago-gastro-duodenoscopy. It was thereby possible to make an aetiological diagnosis in 94.5% of cases. The study demonstrated certain special features: the preponderance of acute gastro-duodenal lesions, possibly explained by the high consumption of gastrotoxic drugs in the elderly subject; the relative frequency of oesophagitis (11%), one out of two cases being responsible for the bleeding; the discovery of a hiatal hernia in 59 patients (1/3 of cases), 25% of them bleeding from a lesion directly related to the latter. Bleeding was in large quantity in 57% of cases. Mortality, which was quite high (17%) appeared to be more related to the underlying general condition than to the haemorrhage itself. Endoscopy gave rise to complications in 8 patients, including 3 who died.
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000009:adverse effects; D004386:Duodenum; D004724:Endoscopy; D004935:Esophageal Diseases / Q000175:diagnosis*; D004941:Esophagitis / Q000175:diagnosis; D004945:Esophagoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000401:mortality; D005773:Gastroscopy; D006396:Hematemesis / Q000209:etiology; D006551:Hernia, Hiatal / Q000175:diagnosis; D006801:Humans; D008297:Male; D008551:Melena / Q000209:etiology; D010438:Peptic Ulcer Hemorrhage / Q000139:chemically induced / Q000175:diagnosis / Q000401:mortality; D012459:Salicylates / Q000009:adverse effects
D000893:Anti-Inflammatory Agents; D012459:Salicylates
Hémorragies digestives d'origine haute chez les sujets de plus de 65 ans. Apport de l'endoscopie.