Retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiency
Iron deficiency anaemia (IDA) is the most common type of anaemia, and its frequency and causes vary according to patient populations. Considering IDA as being an important mortality and morbidity cause, understanding IDA influence on several pathologies is quite necessary. In our study, we investiga...
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| Format: | Article |
| Language: | English |
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Society of Turaz Bilim
2022-03-01
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| Series: | Medicine Science |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=31838 |
| _version_ | 1797327718790987776 |
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| author | Fatime Demir Mujgan Gurler |
| author_facet | Fatime Demir Mujgan Gurler |
| author_sort | Fatime Demir |
| collection | DOAJ |
| description | Iron deficiency anaemia (IDA) is the most common type of anaemia, and its frequency and causes vary according to patient populations. Considering IDA as being an important mortality and morbidity cause, understanding IDA influence on several pathologies is quite necessary. In our study, we investigated gastrointestinal (GIS) pathologies that may lead to IDA in male and postmenopausal female patients. In our study, the data of 234 patients who underwent endoscopy in our hospital due to IDA between 01.01.2016 - 31.12.2017 were analyzed retrospectively. Of the patients participating in the study, 126 were male and 108 were female, and the mean age of the patients was 64.17. Esophagogastroduodenoscopy (EGD) was performed in 86.7% of the patients, colonoscopy in 44.4%, and both in 31.2%. Lesion detection was 96% in EGD, 56% in colonoscopy, and 97.3% in patients with both. The most common lesions in patients who underwent EGD were non-erosive gastritis, erosive gastritis, and bulboduodenitis. After the biopsy was performed, Helicobacter pylori positivity was found in 35.4%, gastric atrophy in 13.3%, and Celiac disease in 1.4%. The most common lesions in patients who underwent colonoscopy were polyps, hemorrhoids and diverticulum. In general, it was seen that the polyps were less than 3 cm in number and less than 1 cm in size. The incidence of inflammatory bowel disease was 5.8%, and ulcerative colitis was more common. In the upper GIS scan, malignancy was 5.1% and gastric adenocarcinoma was 3.6%. The rate of colorectal malignancy, more frequently in the left colon, was determined as 2.9%. In our study, it was observed that IDA patients were frequently accompanied by lesions originating from the GIS system. Considering the variety and complications of lesions in patients with IDA, upper and lower GIS endoscopies should be performed together and without delay. [Med-Science 2022; 11(1.000): 372-6] |
| first_indexed | 2024-03-08T06:41:31Z |
| format | Article |
| id | doaj.art-bebae9f90aaa40dbab0a1f2a59d28cf8 |
| institution | Directory Open Access Journal |
| issn | 2147-0634 |
| language | English |
| last_indexed | 2024-03-08T06:41:31Z |
| publishDate | 2022-03-01 |
| publisher | Society of Turaz Bilim |
| record_format | Article |
| series | Medicine Science |
| spelling | doaj.art-bebae9f90aaa40dbab0a1f2a59d28cf82024-02-03T08:38:11ZengSociety of Turaz BilimMedicine Science2147-06342022-03-01111372610.5455/medscience.2021.12.39231838Retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiencyFatime Demir0Mujgan Gurler1Dortyol State Hospital, Department of Internal Medicine, Hatay, Turkey Bolu Abant İzzet Baysal University Faculty of Medicine Training and Research Hospital, Department of Internal Medicine, Bolu, TurkeyIron deficiency anaemia (IDA) is the most common type of anaemia, and its frequency and causes vary according to patient populations. Considering IDA as being an important mortality and morbidity cause, understanding IDA influence on several pathologies is quite necessary. In our study, we investigated gastrointestinal (GIS) pathologies that may lead to IDA in male and postmenopausal female patients. In our study, the data of 234 patients who underwent endoscopy in our hospital due to IDA between 01.01.2016 - 31.12.2017 were analyzed retrospectively. Of the patients participating in the study, 126 were male and 108 were female, and the mean age of the patients was 64.17. Esophagogastroduodenoscopy (EGD) was performed in 86.7% of the patients, colonoscopy in 44.4%, and both in 31.2%. Lesion detection was 96% in EGD, 56% in colonoscopy, and 97.3% in patients with both. The most common lesions in patients who underwent EGD were non-erosive gastritis, erosive gastritis, and bulboduodenitis. After the biopsy was performed, Helicobacter pylori positivity was found in 35.4%, gastric atrophy in 13.3%, and Celiac disease in 1.4%. The most common lesions in patients who underwent colonoscopy were polyps, hemorrhoids and diverticulum. In general, it was seen that the polyps were less than 3 cm in number and less than 1 cm in size. The incidence of inflammatory bowel disease was 5.8%, and ulcerative colitis was more common. In the upper GIS scan, malignancy was 5.1% and gastric adenocarcinoma was 3.6%. The rate of colorectal malignancy, more frequently in the left colon, was determined as 2.9%. In our study, it was observed that IDA patients were frequently accompanied by lesions originating from the GIS system. Considering the variety and complications of lesions in patients with IDA, upper and lower GIS endoscopies should be performed together and without delay. [Med-Science 2022; 11(1.000): 372-6]http://www.ejmanager.com/fulltextpdf.php?mno=31838colonoscopyesophagogastroduodenoscopygastrointestinal systemiron deficiency anaemia |
| spellingShingle | Fatime Demir Mujgan Gurler Retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiency Medicine Science colonoscopy esophagogastroduodenoscopy gastrointestinal system iron deficiency anaemia |
| title | Retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiency |
| title_full | Retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiency |
| title_fullStr | Retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiency |
| title_full_unstemmed | Retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiency |
| title_short | Retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiency |
| title_sort | retrospective evaluation of endoscopies of male and postmenopausal female patients with iron deficiency |
| topic | colonoscopy esophagogastroduodenoscopy gastrointestinal system iron deficiency anaemia |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=31838 |
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