The American Journal of Medicine
Volume 117, Issue 3 , Pages 193-195 , 1 August 2004

Abdominal computed tomography in the evaluation of patients with asymptomatic iron deficiency anemia: A prospective study

  • Eva Niv, MD

      Affiliations

    • Department of Medicine (EN, AE, ML), Meir Hospital, Sapir Medical Center, Kfar-Saba, Israel
    • ,
  • Avishay Elis, MD

      Affiliations

    • Department of Medicine (EN, AE, ML), Meir Hospital, Sapir Medical Center, Kfar-Saba, Israel
    • Sackler School of Medicine (AE, RZ, BN, ML), Tel Aviv University, Tel Aviv, Israel
    • ,
  • Rivka Zissin, MD

      Affiliations

    • Department of Diagnostic Imaging (RZ), Meir Hospital, Sapir Medical Center, Kfar-Saba, Israel
    • Sackler School of Medicine (AE, RZ, BN, ML), Tel Aviv University, Tel Aviv, Israel
    • ,
  • Timna Naftali, MD

      Affiliations

    • Department of Gastroenterology (TN, BN), Meir Hospital, Sapir Medical Center, Kfar-Saba, Israel
    • ,
  • Ben Novis, MD

      Affiliations

    • Department of Gastroenterology (TN, BN), Meir Hospital, Sapir Medical Center, Kfar-Saba, Israel
    • Sackler School of Medicine (AE, RZ, BN, ML), Tel Aviv University, Tel Aviv, Israel
    • ,
  • Michael Lishner, MD

      Affiliations

    • Department of Medicine (EN, AE, ML), Meir Hospital, Sapir Medical Center, Kfar-Saba, Israel
    • Sackler School of Medicine (AE, RZ, BN, ML), Tel Aviv University, Tel Aviv, Israel
    • Corresponding Author InformationRequests for reprints should be addressed to Michael Lishner, MD, Head, Department of Medicine, Meir Hospital, Sapir Medical Center, Kfar-Saba, Israel

Received 1 August 2003 ,Revised 26 February 2004 ,Accepted 26 February 2004.

References 

  1. Looker AC, Dallman PR, Carroll MD, et al.  Prevalence of iron deficiency anemia in the United States. JAMA. 1997;277:973–976
  2. Andrews NC. Disorders of iron metabolism. N Engl J Med. 1999;341:1986–1995
  3. Zuckerman GR, Prakash C, Askin M, Lewis BS. AGA technical review on the evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology. 2000;118:201–221
  4. Goddard AF, McIntyre AS, Scott BB. Guidelines for the management of iron deficiency anaemia. Gut. 2000;46:iv1–iv5
  5. Rockey DC. Occult gastrointestinal bleeding. N Engl J Med. 1999;341:38–46
  6. AGA medical position statement: evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology. 2000;118: 197–200.
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  15. Annibale B, Capurso G, Christolini A, et al.  Gastrointestinal causes of refractory iron deficiency anemia in patients without gastrointestinal symptoms. Am J Med. 2001;111:439–445
  16. Reyes LA, Gomez CF, Galvez CC, et al.  Iron deficiency anemia due to chronic gastrointestinal bleeding. Rev Esp Enferm Dig. 1999;91:345–358
  17. Kepczyk T, Kadakia SC. Prospective evaluation of gastrointestinal tract in patients with iron-deficiency anemia. Dig Dis Sci. 1995;40:1283–1289
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  20. Gordon SR, Smith RE, Power GC. The role of endoscopy in the evaluation of iron deficiency anemia in patients over the age of 50. Am J Gastroenterol. 1994;89:1963–1967
  21. Hardwick RH, Armstrong CP. Synchronous upper and lower gastrointestinal endoscopy is an effective method of investigating iron-deficiency anemia. Br J Surg. 1997;84:1725–1728
  22. Bampton PA, Holloway RH. A prospective study of the gastroenterological causes of iron deficiency anemia in a general hospital. Aust N Z J Med. 1996;26:793–799
  23. Rockey DC, Cello JP. Evaluation of the gastrointestinal tract in patients with iron-deficiency anemia. N Engl J Med. 1994;330:1239–1240
  24. Willoughby JM, Laitner SM. Audit of the investigation of iron deficiency anaemia in a district general hospital, with sample guidelines for future practice. Postgrad Med J. 2000;76:193–194
  25. Moses PL, Smith RE. Endoscopic evaluation of iron deficiency anemia. A guide to diagnostic strategy in elderly patients. Postgrad Med. 1995;98:213–216
  26. McIntyre AS, Long RG. Prospective survey of investigation in outpatients referred with iron deficiency anemia. Gut. 1993;34:1102–1107

PII: S0002-9343(04)00271-2

doi: 10.1016/j.amjmed.2004.02.041

The American Journal of Medicine
Volume 117, Issue 3 , Pages 193-195 , 1 August 2004

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