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Gastrointestinal Bleeding in the Elderly Patient

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Geriatric Trauma and Acute Care Surgery

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Abstract

As with management of gastrointestinal bleeding in younger adults, successful therapy of gastrointestinal hemorrhage in the elderly depends on source identification and source control through directed intervention. Frailty, defined as age-associated declines in physiologic reserve and function across multiorgan systems, may influence the impact of the bleed and limit the options for treatment [1]. Not only dose, but also duration of exposure to self-administered toxins may have a cumulative effect, as with the long-term effect of cigarette smoking on duodenal ulcers and the effect of chronic alcohol use on the development of bleeding esophageal varices.

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Authors and Affiliations

  1. Harvard Medical School, Boston, MA, USA

    Russell J. Nauta M.D., F.A.C.S.

  2. Mount Auburn Hospital, 330 Mount Auburn Street, Cambridge, MA, 02138, USA

    Russell J. Nauta M.D., F.A.C.S.

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  1. Russell J. Nauta M.D., F.A.C.S.
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Correspondence to Russell J. Nauta M.D., F.A.C.S. .

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Editors and Affiliations

  1. Allegheny General Hospital, Former Director of trauma, Pittsburgh, Pennsylvania, USA

    Aurelio Rodriguez

  2. Suite 202, Lehigh Valley Health Network Suite 202, Allentown, Pennsylvania, USA

    Robert. D Barraco

  3. Virginia Commonwealth University, RICHMOND, Virginia, USA

    Rao R. Ivatury

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Nauta, R.J. (2018). Gastrointestinal Bleeding in the Elderly Patient. In: Rodriguez, A., Barraco, R., Ivatury, R. (eds) Geriatric Trauma and Acute Care Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-57403-5_33

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  • DOI: https://doi.org/10.1007/978-3-319-57403-5_33

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57402-8

  • Online ISBN: 978-3-319-57403-5

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