A Case of a Conservatively Treated Penetrating Gastric Ulcer in an Oldest-old Patient

Abstract

We successfully treated a 97-year-old woman with a penetrating gastric ulcer by using nonsurgical means. We believe that patients with high operative risk should be treated conservatively. Thus, since oldest-old patients are at high risk for surgical treatment, the selection of a treatment strategy becomes a subject of discussion. From our experience in treating such cases, we believe that conservative treatment can be selected if the patient does not exhibit peritonitis symptoms such as muscular guarding and ascites. In an aging society, we think this experience is value.