1986 Volume 23 Issue 6 Pages 573-578
We studied the peptic ulcer in clinical cases and autopsy cases of the aged group at Yokufuh-en. 113 examination cases at the home for aged, 133 endoscopied cases at the hospital, and 318 autopsy cases were investigated. The results were as follows. 1) Peptic uler detected from 4 of 113 examination cases (3.6%), 26 of 133 endoscopied cases (19.5%), and 49 of 318 autopsy cases (15.4%). 2) Referring to duodenal ulcer, it was comparatively frequent also among the aged group, 2 of 113 examination cases (1.8%), 9 of 133 endoscopy cases (6.8%), and 17 of 318 autopsy cases (5.8%). 3) Sex ratio: The male was found to suffer more frequently from gastric ulcer than the female sex, in case of duodenal ulcer, the reverse applied. 4) Location of gastric ulcer: In 8 of 17 endoscopied cases (47%), the ulcer was located at corpus, but in 18 of 32 autopsy cases (56%), the angle was the site of ulcer. 5) Among the aged group, peptic ulcer presented little symptoms, and it was found from objective findings than from clinical symtoms. 6) G-I bleeding was one of severer complications in these cases. It was detected at 46.8% of gastric ulcer cases, and at 64.7% duodenal ulcer cases. In 41 of 318 autopsy cases (12.8%) died of G-I bleeding, and in 15 of these 41 cases (36.5%), peptic ulcer was the cause of death. 7) Out of 49 autopsy peptic ulcer cases, 21 cases (42.9%) complicated with carebral apoplexy, but acute cerebral hemorrhage were limited to 12 cases (24.5%). These complications were more frequent in duodenal ulcer cases than gastric ulcer.