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The term ‘very elderly’ is defined as an age greater than 85 years, a cutoff that might be more clinically relevant as the health of the aging population improves. This article also reviews the epidemiology and pathogenesis of the main causes of gastrointestinal bleeding in the elderly ulcer and diverticular hemorrhage, in particular, are discussed in detail with special reference to the elderly population. Attention is also focused on the utility and safety of endoscopic techniques for the diagnosis of gastrointestinal bleeding in the elderly reference to emerging techniques for small bowel evaluation on the role of aspirin and other NSAIDs in gastrointestinal bleeding in the elderly. Sexy figure When necessary the latter was supplemented by interview of subjects and their parents. The activity records were then compared with the HR graphs to check the agreement of both recordings. In case of disagreement the activity record was immediately re examined with the subject.