Oral Iron for IBD Patients: Lessons Learned at Time of COVID-19 Pandemic

Anemia is a frequent manifestation in patients with chronic inflammatory bowel disease (IBD) and requires tight monitoring and adequate supplementary therapy. Intravenous iron is the first-line treatment in subjects with moderate–severe anemia, active disease, or oral iron intolerance. On the other...

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Main Authors: Ferdinando D’Amico, Laurent Peyrin-Biroulet, Silvio Danese
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/5/1536
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author Ferdinando D’Amico
Laurent Peyrin-Biroulet
Silvio Danese
author_facet Ferdinando D’Amico
Laurent Peyrin-Biroulet
Silvio Danese
author_sort Ferdinando D’Amico
collection DOAJ
description Anemia is a frequent manifestation in patients with chronic inflammatory bowel disease (IBD) and requires tight monitoring and adequate supplementary therapy. Intravenous iron is the first-line treatment in subjects with moderate–severe anemia, active disease, or oral iron intolerance. On the other hand, oral iron is recommended in patients with mild anemia and inactive disease. However, during the current coronavirus pandemic, hospital activities have significantly changed, and all non-essential procedures, including non-urgent iron infusions, have been rescheduled. Oral iron, including both the traditional formulations with ferrous iron and the new ferric iron complexes, could constitute a valid alternative for anemia treatment. For this reason, we conducted a literature review, to summarize the scientific evidence on oral iron therapy in IBD patients with anemia.
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spelling doaj.art-47cf6ef2a29d4956b10c21c873896cf92023-11-20T01:00:35ZengMDPI AGJournal of Clinical Medicine2077-03832020-05-0195153610.3390/jcm9051536Oral Iron for IBD Patients: Lessons Learned at Time of COVID-19 PandemicFerdinando D’Amico0Laurent Peyrin-Biroulet1Silvio Danese2Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, ItalyDepartment of Gastroenterology and Inserm NGERE U1256, University Hospital of Nancy, University of Lorraine, 54500 Vandoeuvre-lès-Nancy, FranceDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, ItalyAnemia is a frequent manifestation in patients with chronic inflammatory bowel disease (IBD) and requires tight monitoring and adequate supplementary therapy. Intravenous iron is the first-line treatment in subjects with moderate–severe anemia, active disease, or oral iron intolerance. On the other hand, oral iron is recommended in patients with mild anemia and inactive disease. However, during the current coronavirus pandemic, hospital activities have significantly changed, and all non-essential procedures, including non-urgent iron infusions, have been rescheduled. Oral iron, including both the traditional formulations with ferrous iron and the new ferric iron complexes, could constitute a valid alternative for anemia treatment. For this reason, we conducted a literature review, to summarize the scientific evidence on oral iron therapy in IBD patients with anemia.https://www.mdpi.com/2077-0383/9/5/1536anemiairon deficiencyoral ironinflammatory bowel diseaseCOVID-19
spellingShingle Ferdinando D’Amico
Laurent Peyrin-Biroulet
Silvio Danese
Oral Iron for IBD Patients: Lessons Learned at Time of COVID-19 Pandemic
Journal of Clinical Medicine
anemia
iron deficiency
oral iron
inflammatory bowel disease
COVID-19
title Oral Iron for IBD Patients: Lessons Learned at Time of COVID-19 Pandemic
title_full Oral Iron for IBD Patients: Lessons Learned at Time of COVID-19 Pandemic
title_fullStr Oral Iron for IBD Patients: Lessons Learned at Time of COVID-19 Pandemic
title_full_unstemmed Oral Iron for IBD Patients: Lessons Learned at Time of COVID-19 Pandemic
title_short Oral Iron for IBD Patients: Lessons Learned at Time of COVID-19 Pandemic
title_sort oral iron for ibd patients lessons learned at time of covid 19 pandemic
topic anemia
iron deficiency
oral iron
inflammatory bowel disease
COVID-19
url https://www.mdpi.com/2077-0383/9/5/1536
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