Lesson of the week: prevalence of concomitant disease in patients with iron deficiency anaemia

Diagnosis No of patients Oesophagitis 14 Colonic cancer 13 Gastric erosion 13 Erosive gastritis 7 Benign colonic adenomatous polyp 6 Duodenal ulcer 5 Gastric cancer 3 Coeliac disease 3 Colonic angiodysplasia 2 Gastric adenomatous polyp 2 Ulcerative colitis 2 Oesophageal cancer 1 Gastric ulcer 1 Barr...

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Bibliographic Details
Published in:BMJ 1997-01, Vol.314 (7075), p.206-208
Main Authors: Till, Simon H, Grundman, Michael J
Format: Article
Language:English
Subjects:
Age
Anemia
Barium
Biopsy
Carcinoma
Celiac disease
Clinical Review
Colon
Colorectal cancer
Deficiency diseases
Enema
Gastrointestinal diseases
Gastroscopy
Hemorrhage
Iron deficiency anemia
Occult sciences
Patients
Studies
Surgery
Women
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Summary:Diagnosis No of patients Oesophagitis 14 Colonic cancer 13 Gastric erosion 13 Erosive gastritis 7 Benign colonic adenomatous polyp 6 Duodenal ulcer 5 Gastric cancer 3 Coeliac disease 3 Colonic angiodysplasia 2 Gastric adenomatous polyp 2 Ulcerative colitis 2 Oesophageal cancer 1 Gastric ulcer 1 Barrett's ulcer 1 Gastric angiodysplasia 1 Crohn's disease 1 No diagnosis 14 Concomitant disease in eight cases of iron deficiency anaemia Case 1-65 year old man; haemoglobin 83 g/l; no gastrointestinal symptoms. Only Rockey et al reported that colonic symptoms predicted colonic disease. 5 Follow up of patients in 1995, at least three years after their initial investigations, has not shown serious gastrointestinal disease in patients discharged after negative results on gastroscopy, duodenal biopsy, and barium enema, confirming that this is a safe, limited approach to the investigation of patients presenting with iron deficiency anaemia. 11 Duodenal biopsy is a simple process during gastroscopy, and many series have shown a prevalence of coeliac disease in iron deficiency anaemia of 3-5%.
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.314.7075.206