TITLE

ONE STOP INVESTIGATION OF IRON DEFICIENCY ANAEMIA. THE WAY AHEAD?

AUTHOR(S)
Beale, R.; Pinder, R.; Hall, A.; Rogers, M.
PUB. DATE
April 2003
SOURCE
Gut;Apr2003 Supplement 1, Vol. 52, pA34
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Adults with iron deficiency anaemia require Gl tract investigation. Traditionally gastroscopy (FOG) and barium enema (DCBE) are used, with colonoscopy (FOC) if DCBE is normal. Primary FOC is not used because caecal intubation rates may be as Iow as 57% and it is costly. We investigate iron deficiency anaemia with FOG and FOC at one visit. Over 3 years, 64 consecutive patients with iron deficiency anaemia underwent same day FOG and FOC. Preparation was 4 litres kleenprep and fasting from midnight. All received supplemental nasal oxygen monitored by pulse oximetry. All received pharyngeal local anaesthesia and midazolam for FOG, with fentanyl and hyoscine for FOC. No patients required reversal of sedation. There were no perforations or significant haemorrhage. Two patients required admission overnight. In two patients FOG revealed a gastric carcinoma and FOC was omitted. FOC was incomplete in 7 but in 5 of these obstructing pathology prevented completion (true completion 60/62, 97%). Investigation of iron deficiency anaemia by FOG and FOC at one sitting is safe and effective. Significant pathology was found in 17 (27%) patients and 21 (33%) patients were returned to their general practitioner after the examination. This cohort of patients are at high risk of having malignant disease and need expeditious investigation. This approach allows prompt, complete investigation and discharge of many patients directly to primary care with the reassurance that no significant abnormality has been found.
ACCESSION #
9747487

 

Related Articles

  • Effects of oral sodium picosulphate Picolax® on urea and electrolytes. Ryan, Fran; Anobile, Tina; Scutt, Diane; Marion Hopwood; Murphy, Gerry // Nursing Standard;7/20/2005, Vol. 19 Issue 45, p41 

    Aim: To investigate the effects of sodium picosulphate (Picolax) oral bowel preparation on levels of serum urea, electrolytes and glucose in patients undergoing bowel preparation for barium enema. Method: A prospective, non-randomised, pre-test and post-test trial was conducted with 144 patients...

  • Familial Amyloidosis with Polyneuropathy: Roentgenological and Gastroscopic Appearance of Gastrointestinal Involvement. Steen, Lars E.; Öberg, Lars // American Journal of Gastroenterology;Jul1983, Vol. 78 Issue 7, p417 

    Forty-three patients suffering from familial amyloidosis with polyneuropathy were examined by means of barium meal, barium follow through, barium enema, cholecystogram, and gastroscopy. The findings were reviewed with respect to the presence of steatorrhea and impaired d-xylose...

  • Abdominal tuberculosis: a panoramic view. Sunkara, Anil; Wagh, D. D.; Singhal, Sameer // Internet Journal of Surgery;2010, Vol. 22 Issue 2, p1 

    Tuberculosis can involve almost any part of the gastrointestinal tract and the latter is considered the sixth most frequent site of extrapulmonary involvement. The most common site of involvement of gastrointestinal tuberculosis is the ileocaecal region. Ileocaecal and small bowel tuberculosis...

  • Which colorectal cancers are missed by double contrast barium enema? Tan, K.; Seow-Choen, F.; Ng, C.; Eu, K.; Tang, C.; Heah, S. // Techniques in Coloproctology;Nov2004, Vol. 8 Issue 3, p169 

    Background The relative merits of either barium enema or colonoscopy for investigating lower gastrointestinal tract symptoms is still unclear. We studied the value of double contrast barium enema (DCBE) as the initial evaluation modality. We reviewed our 10-year experience of double contrast...

  • Paranasal Sinus Osteomas and Gardner's Syndrome. Alexander, Alan A. Z.; Patel, Alpen A.; Odland, Rick // Annals of Otology, Rhinology & Laryngology;Sep2007, Vol. 116 Issue 9, p658 

    Objectives: Osteomas are common benign tumors of the paranasal sinuses. The origin of these lesions is uncertain. Although most are asymptomatic, symptoms can include headaches, facial pain, rhinorrhea, and sinusitis. Osteomas are also seen as part of Gardner's syndrome, an autosomal dominant...

  • Ileal invaginated Meckel's diverticulum: imaging diagnosis (2004:9b). Giusti, Sabina; Iacconi, Chiara; Giusti, Patrizia; Minuto, Michele; Caramella, Davide; Bartolozzi, Carlo // European Radiology;Dec2004, Vol. 14 Issue 12, p2368 

    We describe an uncommon case of severe anemia in an adult man. The patient was evaluated with esophagogastroduodenoscopy, colonoscopy, barium enema and abdominal US, which all proved normal. Abdominal CT showed a non-specific intraluminal mass. Small-bowel follow-through revealed a polypoid mass...

  • Importance of Sideropenic Anemia in the Diagnosis of Gastrointestinal Tract Tumors. Sahovic, Sanela; Vukobrat-Bijedic, Zora; Sahovic, Vahidin // Materia Socio Medica;Jun2012, Vol. 24 Issue 2, p81 

    Introduction: Sideropenic anemia is a hypochromic, microcytic anemia caused by insufficient iron level in the body. This is the most common anemia. In a large percentage it is the symptom of gastrointestinal tract cancer. Anemia was defined by hemoglobin level <119 g/dl, hematocrit <0.356 for...

  • Citations and Clinicians' Notes: Gastrointestinal Imaging.  // Current Medical Literature: Medical Imaging;2003, Vol. 15 Issue 4, p100 

    Presents a clinicians' notes on gastrointestinal imaging. Colorectal neoplasms: role of intravenous contrast-enhanced CT colonography; Spasmolytic effect of peppermint oil in barium during double-contrast barium enema compared with buscopan; Transvenous liver biopsy via the femoral vein.

  • CLINICAL EVALUATION OF THE GASTROINTESTINAL TRACT IN THE AGED. Cohen, Theodore; Gitman, Leo // American Journal of Gastroenterology;Apr1960, Vol. 33 Issue 4, p422 

    Provides information on a clinical evaluation of the gastrointestinal tract in the aged. Estimated percentage of people over the age of 65 by 1975; Age distribution of patients; Radiographic findings on gastrointestinal series, gallbladder series and barium enema.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics