Endoscopy 2018; 50(04): S159
DOI: 10.1055/s-0038-1637516
ESGE Days 2018 ePosters
Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPY IN PATIENTS WITH IRON DEFICIENCY ANEMIA

D Popovic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
,
I Jovanovic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
,
D Tomic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
,
S Djuranovic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
,
M Krstic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
,
T Alempijevic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
,
T Milosavljevic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
,
T Glisic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
,
I Rankovic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
,
D Popovic
1   Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
2   University of Belgrade, Faculty of Medicine, Belgrade, Serbia
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

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Aims:

Iron deficiency anemia (IDA) is the most common type of anemia in the world. The most common cause for men and postmenopausal women is gastrointestinal blood loss. Endoscopy is unavoidable method for detecting the cause of IDA. The aim of this study is to assess of the correlation between the patients characteristics with diagnostic finding of esophagogastroduodenoscopy and colonoscopy.

Methods:

We looked retrospectively patients with IDA and correlate endoscopy finding with patients characterics (age, sex, anamnestic and clinical data). The study was performed at the Clinic for Gastroenterology and Hepatology, Clinical Center of Serbia, in period from January 2014 to January 2015. Descriptive and analytical statistics were used. For evaluation the significance of the difference were used: t-test, Mann-Whitney, Hi-square and Fischer test. A significant difference was designated for p < 0.05.

Results:

The study included 85 patients with IDA, an mean age of 60.3 ± 18.8 years, 51.8% were women. The esophagogastroduodenoscopy, colonoscopy and both endoscopic procedures were performed in 96.5%, 71.8% and 70.6% patients, respectively. The cause of IDA was established in 65.9% patients.

The diagnostic finding of esophagogastroduodenoscopy, colonoscopy and both diagnostic procedures were present in 42.4%, 34.1%, and 10.6% patients, respectively.

The diagnostic finding of esophagogastroduodenoscopy is significantly more common in patients older than 50 years, then in younger (86.1% vs. 13.9%) (p = 0.031).

The patients with diagnostic findings of colonoscopy have more common significantly weight loss (58.6% vs. 33.3%) (p = 0.046), irregular bowel empting (59.3% vs. 27.3%) (p = 0.012), and more often have had malignancy in past medical history (13.8% vs. 0%) (p = 0.043). For the other variables, no significant difference was detected.

Conclusions:

The diagnosic finding of esophagogastroduodenoscopy in patients with IDA is more common in older patients, while the diagnosic finding of colonoscopy is more common in those with weight loss, irregular bowel empting and malignancy in a personal history.