Objective: The most frequent cause of iron deficiency anemia in
postmenopausal women and men is chronic loss from the gastrointestinal tract.
We aimed to evaluate the findings of the endoscopic procedures for the patients
treated with iron deficiency anemia in a retrospective manner. Methods: In our clinic, the results of
endoscopic procedures for the diagnosis of iron deficiency anemia collected
during the period between 2013-2017 were retrospectively screened from patient
files. Results: A total of 246
patients with postmenopausal women and men who were diagnosed with iron
deficiency in our hospital and completed file recordings and underwent
endoscopy for etiology were taken. Of all
the patients, 148 (60.1%) were female and 98 (39.9%) were male. The mean age of
our patients was recorded as 54.7± 12.8 (18-73) years. 23.9% of the patients undergoing endoscopic evaluation
were evaluated as normal. Erosive gastritis was found in
21.8%, pangastrit in 19.2%, antral gastrit in 9.8%, atrophic pangastrit in 8.6%, gastric ulcer in 6.8%, opere stomach in 3.2% and duodenal ulcer in 2.7%, polyp in 2.1%, gastric tumor in 1.9% of the patients with abnormal endoscopic examinations. Hemorrhoid was found in %20.2, polyp in %16.4,
hemorrhoid+ polyp in %12.2, colon tumors in %6.3, angiodisplasia in %5, and
anal fissure in 5 of our patients, one patient with ischemic colitis,
diverticula, terminal ileitis and inflammatory bowel disease without any
pathology in %28 of the 74 patients undergoing colonoscopy. The number of patients with normal upper
gastrointestinal endoscopy but not normal colonoscopy was 12 (16.2%). Of these,
8 (10.8%) were male and 4 (5.4%) were female. Conclusion: Both upper and lower GIS endoscopies have an important
role in the diagnosis of gastrointestinal chronic blood loss, which is one of
the most important causes of iron deficiency anemia in men and postmenopausal
women. The combination of gastroscopy and colonoscopy is critical for
diagnosis.
Amaç:
Postmenopozal
kadınlar ve erkeklerde demir eksikliği anemisinin en sık nedeni
gastrointestinal sistem kaynaklı kronik kayıplardır. Biz bu çalışma ile
kliniğimizde demir eksikliği anemisi nedeni ile tedavi gören hastalara yönelik
yapılan endoskopik girişimlerin retrospektif olarak bulgularının
değerlendirilmesini amaçladık. Yöntem:
Kliniğimizde 2013-2017 tarihleri arasında demir eksikliği anemisi tanısı alan
ve etiyolojik nedene yönelik yapılan endoskopik girişimlerin sonuçları
retrospektif olarak hasta dosyalarından tarandı. Bulgular: Hastanemizde demir eksikliği tanısı konulan postmenopozal
kadınlar ve erkeklerden dosya kayıtları tam olan ve etiyolojik nedene yönelik
endoskopi yapılan toplam 246 hasta incelenmiştir. Hastaların 148’i (%60.1)
kadın, 98’i (%39.9) erkek hastalardı. Hastalarımızın ortalama yaşı 54.7± 12.8
(18- 73) yıldı. Endoskopik inceleme yapılan hastaların %23.9’ü normal olarak
değerlendirildi. Endoskopik incelemeleri anormal olan hastaların %21.8’inde
eroziv gastrit, %19.2’sinde pangastrit, %9.8’inde antral gastrit, %8.6’inde
atrofik pangastrit, %6.8’inde gastrik ülser, %3.2’inde opere mide, %2.7’inde
duedonal ülser, %2.1’inde polip, %1.9’unda gastrik tümör olarak kayıtlıydı.
Kolonoskopik uygulama yapılan 74 hastanın %28’inde herhangi bir patoloji
saptanmazken, %20.2’inde hemoroid, %16.4’ünde polip, %12.2’inde hemoroid+ polip,
%6.3’ünde kolon tümörü, %5’inde anjiodisplazi, ayrıca 5 hastamızda anal fissür,
1’er hastada iskemik kolit, divertikül, terminal ileit ve inflamatuvar barsak
hastalığı tespit edilmiştir. Üst
GİS endoskopisi normal olan, ancak kolonoskopisi normal olmayan hasta sayısı 12
(%16.2) idi. Bunların 8’i (%10.8) erkek, 4’ü (%5.4) kadın hastalardan
oluşmaktaydı. Sonuç:
Erkeklerde
ve postmenopozal kadınlarda demir eksikliği anemisinin en önemli nedenlerinden
birisi olan gastrointestinal kaynaklı kronik kan kayıplarının teşhisinde hem
üst GİS endoskopinin hem de alt GİS endoskopinin önemli bir yeri bulunmaktadır.
Hastalara gastroskopi ve kolonoskopinin birlikte yapılması tanı açısından önem
arz etmektedir.
Primary Language | Turkish |
---|---|
Subjects | Health Care Administration |
Journal Section | Articles |
Authors | |
Publication Date | April 28, 2019 |
Submission Date | March 28, 2018 |
Acceptance Date | January 30, 2019 |
Published in Issue | Year 2019 Volume: 12 Issue: 1 |
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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