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Title: Open questions and misconceptions in the diagnosis and management of anemia in patients with gastrointestinal bleeding.
Other Titles: Preguntas y errores en el diagnóstico y manejo de la anemia en pacientes con hemorragia digestiva.
Authors: Mearin, Fermín
Lanas, Ángel
Bujanda, Luis
Canelles, Pilar
Cotter, José
Hervás, Antonio
Martín de Argila, Carlos
Montoro, Miguel
Gisbert, Javier P
Keywords: Anemia;Diagnosis;Diagnóstico;Gastrointestinal bleeding;Hemorragia digestiva;Hierro;Iron;Tratamientos;Treatments
metadata.dc.subject.mesh: Anemia, Iron-Deficiency
Cardiovascular Diseases
Delayed Diagnosis
Disease Management
Drug Monitoring
Gastrointestinal Hemorrhage
Infusions, Intravenous
Iron Deficiencies
Practice Guidelines as Topic
Quality of Life
Issue Date: 27-Oct-2017
Abstract: Despite high prevalence of iron deficiency anemia (IDA) in patients with acute or chronic gastrointestinal bleeding (GIB), IDA and iron deficiency (ID) are frequently untreated. Reasons may be misconceptions about the impact and diagnosis of IDA and the efficacy of new treatments. Addressing these misconceptions, this article summarizes current evidence for better understanding and management of GIB-associated IDA. Despite only few controlled studies evaluated the efficacy of iron treatment in patients with GIB, there is consistent evidence suggesting that: (a) IDA should be diligently investigated, (b) effective treatment of ID/IDA improves outcomes such as health-related quality of life and can avoid severe cardiovascular consequences, and (c) intravenous iron should be considered as well-tolerated treatment in this setting. Overall, the misconceptions and practices outlined in this article should be replaced with strategies that are more in line with current guidelines and best practice in GIB and other underlying conditions of ID/IDA.
metadata.dc.identifier.doi: 10.1016/j.gastrohep.2017.08.012
ISSN: 0210-5705
Appears in Collections:Producción 2020

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