[Liver cirrhosis].
The prevalence of the peptic ulcer in the aged associated with liver cirrhosis is not so high in comparison with that of the younger. But if bleeding occurs, it is very difficult to stop it and it influences the prognosis of the patients. The factors of liver cirrhosis which influence the therapy of peptic ulcer are bleeding tendency, hypoalbuminemia, hepatic encephalopathy, and hepatorenal syndrome. The therapies on the peptic ulcer of the aged associated with liver cirrhosis are consisted with rest therapy, diet therapy, and drug therapy. It is necessary to consider the level of liver function to decide the therapies. If bleeding occurs, the endoscopic therapy is effective, and if the patient fall to the shock status, it is necessary to consider the operation as soon as possible. It is important to evaluate the liver function to select the therapies.
Department of Internal Medicine (Unit of Gastroenterology and Hepatology), Jikei University School of Medicine.
Gotaro
G
Toda
Akira
A
Torii
D000368:Aged; D006470:Hemorrhage / Q000150:complications; D006501:Hepatic Encephalopathy / Q000150:complications; D006530:Hepatorenal Syndrome / Q000150:complications; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000503:physiopathology; D010437:Peptic Ulcer / Q000209:etiology / Q000628:therapy*; D012709:Serum Albumin / Q000172:deficiency
D012709:Serum Albumin