Endoscopic findings in the older patients with iron-deficiency anemia

Ali ŞENKAYA; Ferit ÇELİK; Ömer ÖZÜTEMİZ

doi:https://doi.org/10.19161/etd.915674

Makale detayları

Endoscopic findings in the older patients with iron-deficiency anemia

Yazarlar:

Ali ŞENKAYA | Ferit ÇELİK | Ömer ÖZÜTEMİZ

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Ege Journal of Medicine 2021, pp.23-29

Belge Tipi:

Makale

Yayın Tarihi:

4/2021

Belge Dili:

İngilizce

Document ID (Org No.):

2000953592

DOI:

https://doi.org/10.19161/etd.915674

Özet:

 

Aim: The presence of iron-deficiency anemia, which is an important indication for endoscopic
procedures, in the geriatric population necessitates the exclusion of a possible malignancy in the
gastrointestinal system. This study aims to examine endoscopic findings in geriatric patients that
underwent esophagogastroduodenoscopy and colonoscopy because of iron-deficiency anemia.
Materials and Methods: Sixty patients aged 65 and over who underwent
esophagogastroduodenoscopy and colonoscopy because of iron-deficiency anemia between August
2019 and August 2020 were retrospectively evaluated. Age, sex, geriatric age groups of patients,
presence of Helicobacter pylori in gastric biopsy, esophagogastroduodenoscopy findings, colonoscopy
findings, presence of internal and / or external hemorrhoids, and duodenal biopsy results were
examined.
Results: Thirty (50%) of 60 patients included in the study were male and the mean age was 72.47 ±
6.07 years. Of these patients, 41 (68.4%) were young-old, 17 (28.3%) were middle-old and 2 (3.3%)
were old-old. The most common causes that might explain iron-deficiency anemia in
esophagogastroduodenoscopy were atrophic gastritis (21.2%), Helicobacter pylori-positive gastritis
(20%), gastric polyp (11.7%), and gastric cancer (3.3%), whereas colonoscopy results were found
colon polyps in 23.3% of patients, diverticulum in 15% and angiodysplasia in 15%, and colon cancer in
8.3%. Internal hemorrhoids were also observed in 44 (73.3%) patients.
Conclusion: In the older population, blood loss from the gastrointestinal system is the most important
cause of iron-deficiency anemia and just hemorrhoids cannot explain IDA. While examining the
etiology of patients diagnosed with iron-deficiency anemia, performing both
esophagogastroduodenoscopy and colonoscopy is an accurate approach to reach the underlying
cause and not to miss a possible malignancy.

Makale detayları

Endoscopic findings in the older patients with iron-deficiency anemia

Yazarlar: Ali ŞENKAYA | Ferit ÇELİK | Ömer ÖZÜTEMİZ

Ana Başlıklar: Sağlık teşvikleri

Dergi: Ege Journal of Medicine 2021, pp.23-29

Belge Tipi: Makale

Yayın Tarihi: 4/2021

Belge Dili: İngilizce

Document ID (Org No.): 2000953592

DOI: https://doi.org/10.19161/etd.915674

Sayı

Yazarlar:

Ali ŞENKAYA | Ferit ÇELİK | Ömer ÖZÜTEMİZ

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Ege Journal of Medicine 2021, pp.23-29

Belge Tipi:

Makale

Yayın Tarihi:

4/2021

Belge Dili:

İngilizce

Document ID (Org No.):

2000953592

DOI:

https://doi.org/10.19161/etd.915674