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Journals / Medical Network Klinik Bilimler ve Doktor / 2004 / Cilt: 10 - Sayı: 3

Upper and lower gastrointestinal system findings of men and postmenopausal women with iron deficiency anemia

Demir eksikliği anemisi saptanan erkeklerde ve postmenapozal kadınlardaki alt ve üst gastrointestinal sistem bulguları

Erdal KURTOĞLU
Ertuğrul KAYAÇETİN
Ayşegül UĞUR
Pages
251–254
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Overall malign tumor was detected in 6.9% of patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The most important cause of iron deficiecny anemia in postmenaposal women and men is the chronic blood loss through the gastrointestinal system.
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Key Findings & Data:Material and Method: Seventy-two patients (33 women, 39 men) aged 53±4.5 (26-68) were included in this study.
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Conclusion & Impact:Overall malign tumor was detected in 6.9% of patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Gastrointestinal kanal · Postmenopoz · Anemi

Abstract

Objective: The most important cause of iron deficiecny anemia in postmenaposal women and men is the chronic blood loss through the gastrointestinal system. The etiology of the blood loss must be investigated. Material and Method: Seventy-two patients (33 women, 39 men) aged 53±4.5 (26-68) were included in this study. All patients underwent both upper and lower gastrointestinal endoscopy. Results: Upper and lower gastrointestinal pathologies were seen in 44 (61.1%) and 12 (22.2%) patients, respectively. No gastrointestinal lesion was found in 16 (22.2%) patients. Out of 72 pateints, 15 (20.9%) had erosive gastritis, 11 (15.3%) doudenal ulcer, 6 (8.4%) hiatal hernia, 6 (8.4%) gastric ulcer, 4 (5.6%) hemorrhoids 3 (4.2%) gastric tumor, 3 (4.2%) diverticulitis, 2 (2.7%) colonic polyp, 2 (2.7%) colon tumor, 2 (2.7%) gastric polyp, 1 (1.3%) esophageal varices and 1 (1.3%) angiodysplasia. Overall malign tumor was detected in 6.9% of patients. Conclusion: The etiology of the iron deficiency anemia must be investigated in postmenapousal women and men by gastrointestinal endoscopy before attempting replacement therapy.

Özet

Amaç: Postmenopozal kadınlarda ve erkeklerdeki demir eksikliği anemisinin en önemli nedeni gastrointestinal sistemden kaynanlanan kronik kan kaybıdır. Demir replasmanının yanı sıra mutlaka endoskopik olarak kanama odağı araştırılmalıdır. Gereç ve Yöntem: Çalışmamızda gastrointestinal sistemden kronik kanaması olduğu düşünülen ortalama yaşı 53±4.5 (26-68) olan 72 olgu (33 kadın, 39 erkek) endoskopik olarak incelendi. Tüm olgulara alt ve üst gastrointestinal sistem endoskopisi uygulandı. Bulgular: Endoskopik inceleme sonucunda oniki (%16.6) olguda alt gastrointestinal, 44 (%61.1) hastada üst gastrointestinal patoloji saptandı. Onaltı (%22.2) olguda demir eksikliği anemisine yol açan bir neden bulunamadı. Onbeş (%20.9) olguda eroziv gastrit, onbir (%15.3) olguda doudenal ülser, altı (%8.4) olguda hiatal herni, altı (%8.4) olguda gastrik ülser, dört (%5.6) olguda hemoroid üç (%4.2) olguda gastrik tümör, üç (%4.2) olguda divertikül, iki (%2.7) olguda kolon polibi, iki (%2.7) olguda kolon tümörü, iki (%2.7) olguda gastrik polip, bir (%1.3) olguda ösofagus varisi ve 1 (%1.3) olguda anjiodisplazi saptandı. Toplam malignite oranı %6.9'du. Sonuç: Postmenopozal kadınlarda ve erkeklerde saptanan demir eksikliği anemilerinde standart gastrointestinal inceleme ile olguların 2/3'ünde bir kanama nedeni bulunmaktadır.

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Cite This Article

KURTOĞLU, E., KAYAÇETİN, E., UĞUR, A. (2004). Upper and lower gastrointestinal system findings of men and postmenopausal women with iron deficiency anemia. Medical Network Klinik Bilimler ve Doktor, Cilt: 10 - Sayı: 3, 251–254. https://ajindex.com/articles/278491

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