salicylates and Hematemesis

One hundred and eighty four patients aged over 65 years and hospitalised for gastrointestinal haemorrhage of high origin underwent emergency oesophago-gastro-duodenoscopy. It was thereby possible to make an aetiological diagnosis in 94.5% of cases. The study demonstrated certain special features: the preponderance of acute gastro-duodenal lesions, possibly explained by the high consumption of gastrotoxic drugs in the elderly subject; the relative frequency of oesophagitis (11%), one out of two cases being responsible for the bleeding; the discovery of a hiatal hernia in 59 patients (1/3 of cases), 25% of them bleeding from a lesion directly related to the latter. Bleeding was in large quantity in 57% of cases. Mortality, which was quite high (17%) appeared to be more related to the underlying general condition than to the haemorrhage itself. Endoscopy gave rise to complications in 8 patients, including 3 who died.

Topics: Aged; Anti-Inflammatory Agents; Duodenum; Endoscopy; Esophageal Diseases; Esophagitis; Esophagoscopy; Female; Gastrointestinal Hemorrhage; Gastroscopy; Hematemesis; Hernia, Hiatal; Humans; Male; Melena; Peptic Ulcer Hemorrhage; Salicylates

Topics: Adrenal Cortex Hormones; Duodenal Ulcer; Gastrointestinal Hemorrhage; Hematemesis; Humans; Mallory-Weiss Syndrome; Melena; Middle Aged; Pancreatic Diseases; Peptic Ulcer Hemorrhage; Prognosis; Salicylates; Shock, Hemorrhagic; Stomach Ulcer

Topics: Acute Disease; Adolescent; Adult; Aged; Aspirin; Female; Gastrointestinal Hemorrhage; Hematemesis; Humans; Male; Melena; Middle Aged; Salicylates

Topics: Acetanilides; Adult; Aged; Anti-Inflammatory Agents; Aspirin; Blood Transfusion; Female; Gastritis; Gastrointestinal Hemorrhage; Hematemesis; Humans; Male; Melena; Methyl Ethers; Middle Aged; Naphthalenes; Propionates; Salicylates

Topics: Adult; Age Factors; Aged; California; Esophageal and Gastric Varices; Ethanol; Gastritis; Gastrointestinal Hemorrhage; Gastroscopy; Hematemesis; Hematocrit; Hospitalization; Humans; Liver Cirrhosis; Melena; Middle Aged; Peptic Ulcer; Recurrence; Salicylates; Shock, Hemorrhagic

Topics: Child; Child, Preschool; Hematemesis; Humans; Hypertension, Portal; Infant; Liver Diseases; Liver Function Tests; Portacaval Shunt, Surgical; Radiography; Salicylates; Splenectomy; Splenomegaly; Thrombophlebitis