Anemia in Inflammatory Bowel Disease: A Neglected Issue in Comprehensive Inflammatory Bowel Disease Management

Anemia is the most common extraintestinal inflammatory bowel disease (IBD) manifestations and is significantly correlated with several adverse impacts such as higher hospitalization rate, relapse rate, surgical intervention requirement, and low quality of life. The prevalence of anemia in IBD patien...

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Main Authors: Randy Adiwinata, Andrea Livina, Bradley Jimmy Waleleng, Harlinda Haroen, Linda Rotty, Fandy Gosal, Luciana Rotty, Cecilia hendratta, Pearla Lasut, Jeanne Winarta, Andrew Waleleng, Marcellus Simadibrata
Format: Article
Language:English
Published: Interna Publishing 2021-07-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:http://actamedindones.org/index.php/ijim/article/view/1803
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author Randy Adiwinata
Andrea Livina
Bradley Jimmy Waleleng
Harlinda Haroen
Linda Rotty
Fandy Gosal
Luciana Rotty
Cecilia hendratta
Pearla Lasut
Jeanne Winarta
Andrew Waleleng
Marcellus Simadibrata
author_facet Randy Adiwinata
Andrea Livina
Bradley Jimmy Waleleng
Harlinda Haroen
Linda Rotty
Fandy Gosal
Luciana Rotty
Cecilia hendratta
Pearla Lasut
Jeanne Winarta
Andrew Waleleng
Marcellus Simadibrata
author_sort Randy Adiwinata
collection DOAJ
description Anemia is the most common extraintestinal inflammatory bowel disease (IBD) manifestations and is significantly correlated with several adverse impacts such as higher hospitalization rate, relapse rate, surgical intervention requirement, and low quality of life. The prevalence of anemia in IBD patients is greatly varied between reports, which is estimated between 8.8% to 74%. However, studies showed there were still gaps in the screening protocol and anemia treatment in daily practice. Anemia in IBD tends to be an overlooked IBD complication yet significant and must be adequately addressed. Anemia in IBD may be caused by several factors that interplayed, with iron deficiency anemia being the most common etiology. Comprehensive management of anemia in IBD should consist of active screening, evaluation of the etiology, holistic treatment, and follow-up monitoring. Optimization of IBD therapy should be emphasized because it also may improve the anemic condition. A multidisciplinary approach and collaboration are needed to ensure better IBD care.
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spelling doaj.art-6d632bcdc57a49d38765040a8683b6c12022-12-21T23:08:01ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322021-07-01533448Anemia in Inflammatory Bowel Disease: A Neglected Issue in Comprehensive Inflammatory Bowel Disease ManagementRandy Adiwinata0Andrea Livina1Bradley Jimmy Waleleng2Harlinda Haroen3Linda Rotty4Fandy Gosal5Luciana Rotty6Cecilia hendratta7Pearla Lasut8Jeanne Winarta9Andrew Waleleng10Marcellus Simadibrata11Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Hematology and Medical Oncology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Hematology and Medical Oncology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Hematology and Medical Oncology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Hematology and Medical Oncology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital, Manado, IndonesiaDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, IndonesiaAnemia is the most common extraintestinal inflammatory bowel disease (IBD) manifestations and is significantly correlated with several adverse impacts such as higher hospitalization rate, relapse rate, surgical intervention requirement, and low quality of life. The prevalence of anemia in IBD patients is greatly varied between reports, which is estimated between 8.8% to 74%. However, studies showed there were still gaps in the screening protocol and anemia treatment in daily practice. Anemia in IBD tends to be an overlooked IBD complication yet significant and must be adequately addressed. Anemia in IBD may be caused by several factors that interplayed, with iron deficiency anemia being the most common etiology. Comprehensive management of anemia in IBD should consist of active screening, evaluation of the etiology, holistic treatment, and follow-up monitoring. Optimization of IBD therapy should be emphasized because it also may improve the anemic condition. A multidisciplinary approach and collaboration are needed to ensure better IBD care.http://actamedindones.org/index.php/ijim/article/view/1803anemiainflammatory bowel diseaseulcerative colitiscrohn disease
spellingShingle Randy Adiwinata
Andrea Livina
Bradley Jimmy Waleleng
Harlinda Haroen
Linda Rotty
Fandy Gosal
Luciana Rotty
Cecilia hendratta
Pearla Lasut
Jeanne Winarta
Andrew Waleleng
Marcellus Simadibrata
Anemia in Inflammatory Bowel Disease: A Neglected Issue in Comprehensive Inflammatory Bowel Disease Management
Acta Medica Indonesiana
anemia
inflammatory bowel disease
ulcerative colitis
crohn disease
title Anemia in Inflammatory Bowel Disease: A Neglected Issue in Comprehensive Inflammatory Bowel Disease Management
title_full Anemia in Inflammatory Bowel Disease: A Neglected Issue in Comprehensive Inflammatory Bowel Disease Management
title_fullStr Anemia in Inflammatory Bowel Disease: A Neglected Issue in Comprehensive Inflammatory Bowel Disease Management
title_full_unstemmed Anemia in Inflammatory Bowel Disease: A Neglected Issue in Comprehensive Inflammatory Bowel Disease Management
title_short Anemia in Inflammatory Bowel Disease: A Neglected Issue in Comprehensive Inflammatory Bowel Disease Management
title_sort anemia in inflammatory bowel disease a neglected issue in comprehensive inflammatory bowel disease management
topic anemia
inflammatory bowel disease
ulcerative colitis
crohn disease
url http://actamedindones.org/index.php/ijim/article/view/1803
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