AboutChineseMedicineoftheSecondNationalSymposiumofelderlydigestionprofessionalKeywords:MeetingMinutesGerontologyBranchofChineseMedicalAssociationSecondNationalConferenceelderlydigestionprofessionalin1998to29May25,heldinBeijing,onbehalfofnearly200peopletothemeetingreviewedtherecentyearsthecountry’sagingdigestiveprofessionalclinical,researchworkbyresults,existingexpertiseonthisdifficult,hotissuesinfourtopicsoftheGeneralAssemblyspeeches,presentations,livelydiscussionsandenterthe21stcentury,China’saging-orientedcountry,facingtheolddigestsomekeyprofessionalissuesandtheprospectofitsdevelopmentprospects.nowthemainelementsoftheclinicalaspectsaresummarizedbelow.First,vasculardiseaseandgastrointestinalbleedingGastrointestinalvascularlesionsinthegeriatricclinicalworkmustpayattentiontotheproblem,withthehigherlevelofunderstandinganddiagnosisofischemic1colitis,gastrointestinalvascularmalformationsofthedetectionrateincreasingeveryyear.HuashanHospital,ShanghaiMedicalUniversity,retrospectivestudyofthedigestivetracttheprinciplesofdiagnosisandtreatmentoflesionsthatangiographyinvascularlesionsinthediagnosisofacutegastrointestinalbleedinghasaspecialrole,notonlyclearbleedingsite,andcatheterthroughthearterybleedingforcertaintypesofsafeandeffectiveembolizationtreatment,thismethodalsoappliestoelderlypatients.’sLiberationArmyGeneralHospital,DepartmentofGastroenterology,SouthBuildingsummarized16casesofelderlypatientswithclinicalfeaturesofischemiccolitisisproposedtohavehighbloodpressure,coronaryheartdisease,arteriosclerosis,cerebralinfarction,myocardialinfarctionanddiabetestheelderly,suddenabdominalcramps,bloating,bloodydiarrheaaccompaniedbynauseaandvomitingshouldfirstconsiderthedisease,thecurrenteffectivediagnostictooliscolonoscopy,whileontheextentofdisease,toassesstheseverityandprognosis,prognosisandextentofdiseaseandtreatmentarecloselyrelatedintimeornot.2Pepticulcerintheelderlyoneofthemajoruppergastrointestinalbleeding,ShanghaiMedicalUniversity,ZhongshanHospital,146cases,theFirstAffiliatedHospitalofShantouMedicalCollege,295casesofelderlypepticulcerclinicalanalysisshowedthattheprevalenceofelderlypepticulcerhigh,veryfewhavethetypicalsymptomsofulcers,gastriccardia,gastriculcersandgastricbodyweresignificantlyhigherthaninyoungpeople,supporttheoccurrenceofgastriculcersitewithagetothegastricdirectionshiftpointofview.uppergastrointestinalNon-surgicaltreatmentofbleedingdevelopedrapidlyinrecentyears,thePLAGeneralHospitalreported615casesofesophagealvaricesinpatientswithendoscopicvaricealsclerosisintervention,emergencyhemostasisratewas96.8%,84.6%rateofvaricoseveinsdisappear,1,3,5-yearsurvivalrateswere91.5%,71.4%,47.1%,long-termrebleedingrateof20.1%,14.7%overallincidenceofcomplications,complicationsdirectlycauseddeathin8cases(1.3%).63casesofesophagealvaricealbleeding,electiveligationofcontinuousmulti-part,eightpatientshadsurgeryand3after15hours,36hours,3to9daysofbleedingrecurrence,accountingfor12.5%,4patientsdied,sotheendoscopicveinligationpostoperativerecurrenceofbleedingshouldpayattentiontopointingoutthatnoteverymethodofendoscopicinterventioncanbeusedforanytypeofbleeding,accordingtotheconditionsoftheunitandthepatient’sspecificcircumstances.Low-doseaspirinascardiovascularandcerebrovasculardiseasetreatmentandpreventionofdrugusehasbeenwidelyusedinelderlypatients,evenifusedeveryday50mg,alsocancausegastroi...