PMID: 2493835Jan 21, 1989Paper

Management of bleeding varices in the elderly

BMJ : British Medical Journal
S W HoskingD R Triger

Abstract

In 207 consecutive patients the outcome of bleeding varices was compared in those aged under 65 (n = 146) and those aged over 65 (n = 61). All patients were seen during seven years and were treated by active initial and maintenance sclerotherapy. Alcoholic cirrhosis was commoner in younger patients (68 (47%) v 12 (20%] and cryptogenic cirrhosis commoner in older patients (21 (34%) v 19 (13%]. Mortality due to the first bleed was dependent on the severity of liver disease and was unrelated to age. Survival corrected for age (life table analysis) was 65% at one year and 60% at two years for both groups of patients. It is concluded that patients should not be denied active treatment for bleeding varices on the basis of age alone. In order to obtain optimum results early endoscopy and sclerotherapy is essential.

References

May 1, 1983·Age and Ageing·C M RobertsS N Marcus

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Citations

Sep 1, 1994·World Journal of Surgery·M OhtaK Sugimachi
Sep 1, 1991·Baillière's Clinical Gastroenterology·J D Rose, P M Smith
Feb 7, 2008·Nature Clinical Practice. Gastroenterology & Hepatology·Patrick S Yachimski, Lawrence S Friedman
Aug 1, 1992·Gut·D R Triger
May 1, 1990·Postgraduate Medical Journal·I Taylor
Sep 12, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S MaslekarI Botterill
Sep 1, 1991·The British Journal of Surgery·R F McKeeD C Carter
May 15, 2020·ANZ Journal of Surgery·Alice LeeHanumant S Chouhan

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