Iron-deficiency anemia as presentation of pouchitis.

Iron-deficiency anemia as presentation of pouchitis. Research Abstract Details

Research Abstract Table of Contents

Jump to the:

Abstract Text of This Paper

Journal Published

MeSH Keywords of This Abstract

Chemicals and Substances Used in this Paper

Grants and Granting Agency of this Research

Database Accession Numbers Used in this Paper

Iron-deficiency anemia as presentation of pouchitis. Abstract Text:

Rafael J Pastrana,Esther A Torres, Arroyo,Cynthia E Rivera,Carlos J ,Lilliana Morales,

GOALS: This study sought to describe the percentage and cause of anemia in patients who underwent ileal pouch with anal anastomosis (IPAA) for ulcerative colitis (UC), and to compare the distribution of complications in patients with and without anemia, especially pouchitis, after IPAA. BACKGROUND: IPAA is the surgical procedure of choice for UC. Complications include pouchitis (40%), strictures (30%), small bowel obstruction (10%), pelvic sepsis (<5%), and urinary and sexual dysfunctions (<5%). Few studies have described the prevalence of anemia after IPAA, but no conclusive findings have been reported. STUDY: Patients who had undergone IPAA for UC were recruited from the UPR Inflammatory Bowel Disease Clinic and the Gastroenterology Research Unit. Demographic and medical data were obtained. Anemia was diagnosed using standard hematologic criteria. Serum iron, ferritin, transferrin, folate, vitamin B12, erythropoietin, total iron-binding capacity, reticulocyte count, peripheral smear, and bone marrow aspirate were evaluated in patients with anemia. Data analysis was performed with EPI Info version 6.4d. RESULTS: Iron-deficiency anemia was identified in 55.5% (10/18) of patients and pouchitis was found in 77% (14/18). All 10 patients with anemia had pouchitis, whereas only 4 of the 8 without anemia had pouchitis. In half of the anemic patients, pouchitis was asymptomatic. CONCLUSIONS: Iron-deficiency anemia may be a clinical presenting sign of pouchitis. Hemoglobin levels may be considered as surveillance tools for pouchitis in patients with IPAA.

Iron-deficiency anemia as presentation of pouchitis. Publishing Authors By Initials

RJ Pastrana,EA Torres,JM Arroyo,CE Rivera,CJ ,L Morales,

For similar investigative techniques: epidemiologic methods: data collection: health surveys: health status indicators: severity of illness index research abstracts see: investigative techniques: epidemiologic methods: data collection: health surveys: health status indicators: severity of illness index research

PUBMED ID PMID:

MEDLINE DATE:

Iron-deficiency anemia as presentation of pouchitis. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Journal of clinical gastroenterology

VOLUME: 41

Page Numbers: 41-4

Journal Abbreviation: J. Clin. Gastroenterol.

ISSN: 0192-0790

DAY: 3

MONTH: Jan

YEAR: 2007

Iron-deficiency anemia as presentation of pouchitis. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7910017

Iron-deficiency anemia as presentation of pouchitis. Keywords Mesh Terms:

KEYWORDS: Severity of Illness Index

MESH TERMS: diagnosis

Chemical & Substance for Abstract: Iron-deficiency anemia as presentation of pouchitis. Information

Substance Name: Iron

Registry Number: 7439-89-6

Grant and Affiliation Information for Iron-deficiency anemia as presentation of pouchitis.

AFFILIATION: Gastroenterology Research Unit, Department of Medicine, University of Puerto Rico School of Medicine, University of Puerto Rico, San Juan, PR.

Country: United States