Small bowel lesions in patients with iron deficiency anaemia without overt bleeding: a multicentre study
Abstract The diagnostic work-up in iron deficiency anaemia (IDA) patients can be challenging when bleedings or malabsorption are not clinically manifest. Lesions on the small bowel mucosa may cause IDA. We evaluated the prevalence of lesions on the small bowel mucosa detected at Videocapsule Endoscopy (VCE) in IDA patients following negative upper and lower endoscopies. Clinical and endoscopic data collected in 5 centres were retrieved. Lesions with a high bleeding potential (P2) were computed, and predictive factors investigated at multivariate analysis. By considering data of 230 patients, the endoscopic examination detected a total of 96 (41.7%; 95% CI: 35.4–48.1) P2 lesions on the small bowel mucosa, including 4 (1.7%) cancers. The use of non-steroidal anti-inflammatory drugs was found to be the only associated factor at both univariate (OR: 5.7, 95% CI: 2.4–13.4; P <0.001) and multivariate (OR: 2.8; 95% CI: 1.7–3.9, P <0.01) analyses. Present study showed that evaluation of small bowel mucosa with VCE allows to disclose a potential cause of IDA in near half patients. The cooperation between haematologists and gastroenterologists in the diagnostic work-up may be useful..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:103 |
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| Enthalten in: |
Annals of hematology - 103(2023), 1 vom: 09. Nov., Seite 1-4 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zullo, Angelo [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Diagnostic work-up |
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| Anmerkungen: |
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| doi: |
10.1007/s00277-023-05450-9 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a Abstract The diagnostic work-up in iron deficiency anaemia (IDA) patients can be challenging when bleedings or malabsorption are not clinically manifest. Lesions on the small bowel mucosa may cause IDA. We evaluated the prevalence of lesions on the small bowel mucosa detected at Videocapsule Endoscopy (VCE) in IDA patients following negative upper and lower endoscopies. Clinical and endoscopic data collected in 5 centres were retrieved. Lesions with a high bleeding potential (P2) were computed, and predictive factors investigated at multivariate analysis. By considering data of 230 patients, the endoscopic examination detected a total of 96 (41.7%; 95% CI: 35.4–48.1) P2 lesions on the small bowel mucosa, including 4 (1.7%) cancers. The use of non-steroidal anti-inflammatory drugs was found to be the only associated factor at both univariate (OR: 5.7, 95% CI: 2.4–13.4; P <0.001) and multivariate (OR: 2.8; 95% CI: 1.7–3.9, P <0.01) analyses. Present study showed that evaluation of small bowel mucosa with VCE allows to disclose a potential cause of IDA in near half patients. The cooperation between haematologists and gastroenterologists in the diagnostic work-up may be useful. | ||
| 650 | 4 | |a Iron deficiency anaemia |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a De Francesco, Vincenzo |4 aut | |
| 700 | 1 | |a Gatta, Luigi |4 aut | |
| 700 | 1 | |a Scaccianoce, Giuseppe |4 aut | |
| 700 | 1 | |a Colombo, Matteo |4 aut | |
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| 700 | 1 | |a Azzarone, Alessandro |4 aut | |
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| 700 | 1 | |a Corti, Federico |4 aut | |
| 700 | 1 | |a Repici, Alessandro |4 aut | |
| 700 | 1 | |a Hassan, Cesare |4 aut | |
| 700 | 1 | |a Rossi, Roberta Elisa |4 aut | |
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