Hussien, M., Dardeer, H., Ali, M., Nafady, A. (2023). Diagnostic Value of Upper and Lower Endoscopy in Assessment of Patients with Microcytic Hypochromic Anaemia without Site-specific Gastrointestinal Manifestations. test, 6(2), 140-151. doi: 10.21608/svuijm.2023.199049.1550
Mohammed Tag-Adeen Said Hussien; Huda Abdelhamied Mohammed Dardeer; Mahmoud Aboelsoad Gehlan Ali; Asmaa Abd elhakim Nafady. "Diagnostic Value of Upper and Lower Endoscopy in Assessment of Patients with Microcytic Hypochromic Anaemia without Site-specific Gastrointestinal Manifestations". test, 6, 2, 2023, 140-151. doi: 10.21608/svuijm.2023.199049.1550
Hussien, M., Dardeer, H., Ali, M., Nafady, A. (2023). 'Diagnostic Value of Upper and Lower Endoscopy in Assessment of Patients with Microcytic Hypochromic Anaemia without Site-specific Gastrointestinal Manifestations', test, 6(2), pp. 140-151. doi: 10.21608/svuijm.2023.199049.1550
Hussien, M., Dardeer, H., Ali, M., Nafady, A. Diagnostic Value of Upper and Lower Endoscopy in Assessment of Patients with Microcytic Hypochromic Anaemia without Site-specific Gastrointestinal Manifestations. test, 2023; 6(2): 140-151. doi: 10.21608/svuijm.2023.199049.1550

Diagnostic Value of Upper and Lower Endoscopy in Assessment of Patients with Microcytic Hypochromic Anaemia without Site-specific Gastrointestinal Manifestations

SVU-International Journal of Medical Sciences
Article 12, Volume 6, Issue 2, July 2023, Pages 140-151    PDF (929.6 K)
Document Type: Original research articles
DOI: 10.21608/svuijm.2023.199049.1550
Authors
Mohammed Tag-Adeen Said Hussien1; Huda Abdelhamied Mohammed Dardeer1; Mahmoud Aboelsoad Gehlan Ali* 1; Asmaa Abd elhakim Nafady2
1Department of Internal Medicine, Faculty of Medicine, South Valley University, Qena, Egypt
2Department of Clinical Pathology, Faculty of Medicine, South Valley University, Qena, Egypt
Abstract
Background: Iron deficiency anemia (IDA), is often caused by digestive disorder and should always be assessed, as its causes could be severe illness such as cancer.
Objectives: To study the diagnostic value of both upper and lower endoscopic examinations among patients with microcytic hypochromic anaemia without site -specific gastrointestinal (GIT) manifestations.
Patients and methods: A total of 50 Egyptian patients with IDA were included. Patients were clinically evaluated and investigated for: Complete blood picture, serum ferritin, serum iron and total iron binding capacity (TIBC). Patients were screened with Esophagogastroduodenoscopy (EGD) and colonoscopy.
Results: The mean ±SD age of the patients was 36.4 ± 16.7, 19 males (38%) and 31 females (62%). The most common finding of EGD was Gastritis, it was present in 20 patients (40%) followed by Peptic ulcer in 9 patients (18%). There were 2 patients (4%) with celiac disease, 1 patient (2%) with crohn’s disease, 2 patients (4%) with Gastric cancer, and 1 patient (2%) with angiodysplasia while there were 14 patients (28%) with normal EGD. Both procedures showed negative findings in 10 patients (20%), both procedures showed positive findings in 8 patients (16%) while 1 procedure only showed positive finding in 32 patients (64%).
Conclusion: Bidirectional endoscopies are valuable to detect the cause of IDA in patients without site –specific (GIT) manifestations. The most common GIT lesions were gastritis followed by peptic ulcer.
Keywords
IDA; Endoscopy; Gastritis
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