@article{article_1575890, title={Upper Gastrointestinal Bleeding in Geriatric and Young Patients: Evaluation of Clinical and Endoscopic Findings}, journal={Hitit Medical Journal}, volume={7}, pages={164–172}, year={2025}, DOI={10.52827/hititmedj.1575890}, author={Ergin, Mustafa and Kivrakoglu, Fatih and Cindoruk, Mehmet}, keywords={Komorbidite, mortalite, üst gastrointestinal kanama, yaş}, abstract={Objective: Acute upper gastrointestinal (GI) bleeding causes significant mortality and morbidity and can be life-threatening. This study aimed to compare the clinical-endoscopic characteristics and outcomes of patients aged <65 and ≥65 years who presented with upper GI bleeding. Material and Method: A total of 412 patients who underwent endoscopic procedures for GI bleeding were included. The clinical and endoscopic characteristics, treatments, and hospital stays of the patients were retrospectively reviewed from the hospital system and recorded. The results were compared by dividing the patients into two groups: those aged <65 years and those aged ≥65 years. Results: There were 244 patients aged ≥65 years and 168 patients aged <65 years. Male sex was predominant in both groups. Comorbidities were significantly more common in geriatric patients. Nonsteroidal anti-inflammatory drugs (NSAID) use was similar between the two groups. The etiologies of bleeding were similar in both groups, with peptic ulcers being the most common cause. The need for erythrocyte transfusion was increased in the geriatric group, and the length of hospital stay was significantly longer in the ≥65 years age group. There was no statistically significant difference in in-hospital mortality rates between the two groups. Conclusion: Peptic ulcer was the most common etiology in both the groups. NSAID use was recognized as an important risk factor for bleeding in both the groups. Older age and the presence of comorbid diseases were thought to be the main factors affecting length of hospital stay and erythrocyte transfusion needs. Age alone was not considered a factor that increased in-hospital mortality.}, number={2}, publisher={Hitit Üniversitesi}