La hemorragia digestiva alta en el paciente anciano mayor de 80 años

Gastric antral vascular ectasia (GAVE) in the elderly, from diagnostic inertia to resolution. Case report

“…GI bleeding is a frequent cause of anemia and hospitalization in older adults. Mostly related to the high prevalence of the use of drugs such as non-steroidal anti-inflammatory drugs, Helicobacter pylori infection, and GI reflux 6,7 . GAVE, also known as "watermelon stomach", is caused by malformation of the blood capillaries, mainly in the gastric antrum.…”

“…Endoscopy makes it possible to identify the origin of the bleeding and to choose the most appropriate therapy. This study has the same indications in the elderly and in young people, being safe as long as comorbidities are taken into account and it is identified if any increased risk of complications during endoscopy and relevant recommendations are made 6 .…”

“…At present, in Mexico, 12% of the population is made up of people over 60 years old 18 . Due to the progressive aging of the population in our country, patients present greater complications and comorbidities 6,7 . The elderly are a heterogeneous and complex population, which makes them vulnerable to discriminatory attitudes, and Mexico is a country with a high prevalence of agism [19][20][21] .…”