The clinical characteristics and endoscopic findings in the elderly patients with cirrhosis and variceal bleeding
10.3760/cma.j.issn.1007-631X.2018.01.013
- VernacularTitle:中老年肝硬化患者上消化道出血的临床和内镜特点分析
- Author:
Yuanyuan ZHANG
1
;
Guodong CHEN
;
Zhifeng WANG
;
Xinyi LIU
;
Chenchen SHI
;
Yulan LIU
Author Information
1. 100044,北京大学人民医院消化科
- Keywords:
Liver cirrhosis;
Esophageal and gastric varices;
Gastrointestinal bleeding
- From:
Chinese Journal of General Surgery
2018;33(1):41-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics and endoscopic findings in the elderly cirrhotic patients with variceal bleeding.Method In this study,181 cirrhotic patients with variceal bleeding cltnically and endoscopically diagnosed from May 2011 to May 2016 were divided into ≥60 years of age group (58 cases) and control group (＜ 60 years of age,123 cases).Clinical data and endoscopic findings were compared retrospectively.Results The cirrhosis caused by virus and alcohol (15/58,62/123) was less in elderly group,but autoimmune disease and non-alcoholic fatty liver disease was more common (14/58,12/58)(x2 =7.452,P =0.004).The incidence rate of hypertension and coronary artery disease was higher in elderly group (20/58,7/58,x2 =6.124,12.764,P =0.012,0.001).However,there was no difference in the incidence rate of diabetes between the two groups (P ＜ 0.05).Gastric varices bleeding was higher in the elderly group (x2 =3.965,P =0.049).The gastric varices located in cardia were more in the elderly group (37.93％,22/58) than control (34.96％,43/123),(x2 =4.124,P =0.044).The rate of EIS was higher in the elderly group and cyanoacrylate injection was less than control (x2 =3.621,P =0.046).Conclusions Compared with those of ＜ 60 years of age,the causes and endoscopic findings and treatment are different cirrhotic variceal bleeding in patients ≥60 years of age.
