[Duodenal ulcers, gastric ulcers and Helicobacter pylori].
The mortality in elderly patients over the age of 80 years with peptic ulcers in the case of complications, such as bleeding and perforation is higher than in the general population. Duodenal ulcers are associated with Helicobacter pylori infections in 90% of cases and in 70% of gastric ulcers. The treatment of elderly patients is often difficult due to multimorbidity and polypharmacy and necessitates a geriatric approach. Ulcers are often caused by medication with nonsteroidal anti-inflammatory drugs (NSAIDs) and acetylsalicylic acid. Despite the fact that progress in therapy has improved the prevalence and prognosis, the treatment of elderly patients with ulcers is complex.
Abteilung für Akutgeriatrie und Remobilisation, Salzkammergut-Klinikum Gmunden, Miller-von- Aichholzstr. 49, 4810, Gmunden, Österreich. peter.dovjak@gespag.at.
Peter
http://orcid.org/0000-0003-4667-8805
P
Dovjak
D000368:Aged; D000369:Aged, 80 and over; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D004381:Duodenal Ulcer / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy*; D019317:Evidence-Based Medicine; D005260:Female; D015577:Geriatric Assessment / Q000379:methods; D016481:Helicobacter Infections / Q000175:diagnosis / Q000628:therapy*; D016480:Helicobacter pylori; D006801:Humans; D008297:Male; D013276:Stomach Ulcer / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome
D000894:Anti-Inflammatory Agents, Non-Steroidal
Eradication; Infection; Peptic ulcer; Peptic ulcer hemorrhage; Peptic ulcer perforation