Results of gastrointestinal endoscopic examinations in patients with iron defıciency anemia

Yıl 2011, Cilt: 38 Sayı: 2, 155 - 159, 01.06.2011

Züleyha Akkan Çetinkaya Mesut Sezikli Fatih Güzelbulut M. Erhan Altınöz Ayça Değirmenci Yasemin Gökden Selvinaz Özkara Seçil Sağlam Ayşe Oya Kurdaş Övünç

https://doi.org/10.5798/diclemedj.0921.2011.02.0006

Öz

Objectives: Endoscopic procedures are usually carried out in order to diagnose the cause of iron deficiency ane­mia (IDA). We aimed to evaluate endoscopic findings of our patients with iron deficiency anemia retrospectively. Materials and methods: We retrospectively reviewed our computerized data of patients who attended to Haydar­pasa Numune Education and Research Hospital Gastro­entology Endoscopy Unit between 2008 and 2010 years. Patients in whom upper gastrointestinal endoscopy and/or colonoscopy were performed in order to diagnose the cause of IDA were included in this study. Results: This study included 490 patients with iron defi­ciency anemia in whom upper gastrointestinal endoscopy and/or colonoscopy were performed. The mean age of patients was 58.94 ± 14.8 years. Of these patients, 288 (172 female, 116 male) underwent only upper gastroin­testinal endoscopy, 116 (61 female, 55 male) underwent only colonoscopy and 84 (39 male, 45 female) under­went both upper gastrointestinal endoscopy and colonos­copy. The rates of failure to reveal the cause of IDA in patients in whom either upper gastrointestinal endoscopy or colonoscopy had been performed were 18.75% and 46.55%, respectively. On other hand, the ratio of failure to reveal the cause of IDA was 3.48% in patients in whom both upper gastrointestinal endoscopy and colonoscopy had been performed. Conclusion: When referring any patient with iron defi­ciency anemia to endoscopy unit, ordering both upper gastrointestinal endoscopy and colonoscopy may allow us to find the reason more accurately.

Anahtar Kelimeler

Iron deficiency anemia, gastrointestinal en­doscopy, gastrointestinal system

Demir eksikliği anemili hastalarda gastrointestinal endoskopik inceleme sonuçları

Öz

Amaç: Endoskopi ünitelerinde, demir eksikliği anemisi nedenini saptamaya yönelik işlemler yapılmaktadır. De­mir eksikliği anemisi (DEA) ön tanısıyla yapılan endosko­pik incelemelerin sonuçları retrospektif olarak taranarak, sonuçların paylaşılması amaçlandı. Gereç ve yöntem: Haydarpaşa Numune Eğitim ve Araş­tırma Hastanesi Gastroenteroloji Endoskopi ünitesi 2008-2010 yılları arasındaki endoskopi kayıtları retrospektif olarak tarandı. Demir eksikliği anemisi endikasyonu ne­deniyle endoskopi yapılan hastalar belirlendi. Hastaların bulguları kaydedilerek analiz edildi. Bulgular: Hastanemiz endoskopi ünitesinde anemi nede­ni ile işlem yapılan toplam 490 hasta değerlendirildi. Has­talarımızın yaş ortalaması: 58.94 ± 14.8 yıl idi. Toplam 288 hastaya (172 kadın,116 erkek) sadece gastroskopi, 116 hastaya (61 kadın, 55 erkek) ise sadece kolonoskopi yapılmıştı. Gastroskopi ve kolonoskopinin birlikte yapıldı­ğı hasta sayısı ise 84 (39 erkek, 45 kadın) idi. Tek işlem yapılan hastalarda DEA nedeni olabilecek patolojiye rast­lamama oranı gastroskopide %18.75, kolonoskopide ise %46.55 ile kolonoskopide daha yüksek olarak bulundu (p

Anahtar Kelimeler

Demir eksikliği anemisi, gastrointes­tinal endoskopi, gastrointestinal sistem

Kaynakça

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