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© 1987 Oxford University Press

research-article

UPPER GASTROINTESTINAL HAEMORRHAGE IN THE ELDERLY: A RECORD OF 92 PATIENTS IN A JOINT GERIATRIC/SURGICAL UNIT

S. K. BANSAL, Consultant Physician in Medicine for the Elderly, P. C. GAUTAM, Senior Registrar in General and Medicine for the Elderly*, S. P. SAHI, Registrar in Medicine for the Elderly, S. K. BASU, Consultant Physician in Medicine for the Elderly, J. M. LENNOX, Consultant Surgeon and A. J. WARRINGTON, Consultant Surgeon

Department of Medicine for the Elderly and General Surgery, Ryhope General Hospital Sunderland SR2 OLY

*Address correspondence to Dr P.C. Gautam, Department of Medicine for the Elderly.

Ninety-two consecutive elderly patients suffering from acute gastrointestinal bleeding were studied over a 3-year period. All were admitted to a specially designated Geriatric/Surgical Ward under the care of consultant physicians in geriatric medicine. The nurses were trained to look after acute surgical and geriatric patients. Patients were aged between 65 and 93 years. All were managed jointly by the surgeons and physicians. Only 13 needed emergency surgery which was preceded by urgent endoscopy. The rest were managed conservatively with intravenous eimetidine and blood transfusions as required. The overall mortality was low at 5.4%. It is concluded that in a series of elderly patients with acute gastrointestinal bleeding the mortality was not high in a unit where the management was conservative and there was joint care between geriatricians and surgeons.

accepted in revised form January 14, 1987.


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