IRON DEFICIENCY ANEMIA;

FREQUENCY OF DUAL LESIONS DETECTED BY BIDIRECTIONAL ENDOSCOPY IN PATIENTS WITH IRON DEFICIENCY ANEMIA WITHOUT OBVIOUS BLOOD LOSS.

  • Naresh Kumar Seetlani Dow Medical College, Civil Hospital Karachi, DUHS Karachi.
  • Khalid Imran Dow Medical College, Civil Hospital Karachi, DUHS Karachi.
  • Kashif Sadruddin Dow Medical College, Civil Hospital Karachi, DUHS Karachi.
  • Asif Ali Dow Medical College, Civil Hospital Karachi, DUHS Karachi.
  • Pyar Ali Dow Medical College, Civil Hospital Karachi, DUHS Karachi.
  • Taha Sheikh Dow Medical College, Civil Hospital Karachi, DUHS Karachi.
Keywords: Iron Deficiency Anemia, Gastritis, Duodenitis, Gastric Ulcer, Duodenal Ulcer

Abstract

Objectives: To determine the frequency of dual lesions detected by Upper and lower GI endoscopies in patients with iron deficiency anemia without obvious blood loss. Study Design: Cross sectional study. Place and Duration of Study: Department of Medicine, Civil Hospital Karachi from 1st Feb 2015 to 31st July 2015. Methodology: A total 163 patients with Iron deficiency anemia (IDA) for duration of 6 months were registered. Upper and lower GI endoscopies were done in all patients. Outcome variable were the presence of dual lesion identified by gastroenterologist during Upper and lower GI endoscopies. All the results were catered in the pre-approved performa and findings were evaluated by SPSS 17. Results: The average age of the patients was 40.64±11.17 years. Frequency of dual lesions detected by Upper and lower GI endoscopies in patients with iron deficiency anemia without obvious blood loss was observed in 38.65% (63/163) cases. Conclusion: Upper GI tract lesion like gastritis, duodenitis, gastric ulcer and duodenal ulcer were the most common causes of IDA without obvious blood loss. However, Dual lesions were not uncommon, thus both procedures (upper and lower GI endoscopies) were required in most (particularly elderly) patients. This can help to provide shorter hospital stays, reduced medical costs and faster decision making for patient care.

Author Biographies

Naresh Kumar Seetlani, Dow Medical College, Civil Hospital Karachi, DUHS Karachi.

MBBS, FCPS, MCPS

Assistant Professor of Medicine

Department of Medicine

 

Khalid Imran, Dow Medical College, Civil Hospital Karachi, DUHS Karachi.

MBBS, FCPS

Professor of Medicine

Department of Medicine

 

Kashif Sadruddin, Dow Medical College, Civil Hospital Karachi, DUHS Karachi.

MBBS

Postgraduate Trainee

 

Asif Ali, Dow Medical College, Civil Hospital Karachi, DUHS Karachi.

MBBS, FCPS

Assistant Professor

Department of Medicine

 

Pyar Ali, Dow Medical College, Civil Hospital Karachi, DUHS Karachi.

MBBS, FCPS

Associate Professor

Department of Medicine

 

Taha Sheikh, Dow Medical College, Civil Hospital Karachi, DUHS Karachi.

MBBS

House Physician

 

Published
2019-02-10