Objective To analyze the characteristics of upper gastrointestinal bleeding in geriatrics

Methods To analyze retrospectively the clinical data of 107 geriatric upper gastrointestinal bleeding confirmed by gastroscope or operation and another 136 non - geriatric upper gastrointestinal bleeding cases were compared. Results The most common reason of upper gastrointestinal bleeding in geriatrics is peptic ulcer(34. 58% ) .followed by gastric cancer with 18. 69%. 28. 03% of bleeding did not have typical clinical manifestation. The rates of re - bleeding

multi - bleeding and heavy bleeding were 64. 48%

21. 5% and 2804%

respectively. The bleeding time more than one week occurred in 25. 23% of the patients

bleeding mortality was 13. 08% . 27. 10% of patients were misdiagnosis at primary visit

which had statistical difference comparing with non - geriatric patients

P<0. 05. Conclusions The major reasons of upper gastrointestinal bleeding in geriatrics to collect patient history in detail

conduct physical examination fully and take route stool occult blood test. The early gastroscope examination should be conducted as soon as possible.