Lower Gastrointestinal Bleeding in the Elderly

  • Sylvia S. Kim
  • Michael E. Zenilman


Lower gastrointestinal bleeding is a commonly encountered surgical problem that increasingly affects the elderly. This is not surprising given that the two most commonly cited causes of lower gastrointestinal bleeding, diverticula and arteriovenous malformations (AVMs) have an increasing incidence with increased age. One large population-based study found that the incidence of acute lower gastrointestinal hemorrhage increased over 200-fold from the third to ninth decades of life [1] with an incidence of 500 episodes per 100,000 people per year in the elderly population. Increased age has also been demonstrated to be an independent predictor of both increased length of stay as well as cost of hospitalization in resource utilization studies [2].


Arteriovenous Malformation Active Bleeding Ischemic Colitis Internal Hemorrhoid Lower Gastrointestinal Bleeding 
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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Surgery Johns Hopkins MedicineBaltimoreUSA
  2. 2.SUNY Downstate School of Public HealthBrooklynUSA

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