Prelipcean C C, Mihai C, Stanciu C
Clinica a II-a Medicală Gastroenterologie, Spitalul Universitar Sf. Spiridon Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2000 Oct-Dec;104(4):51-3.
According to literature the gastroenterologic consultations for iron-deficiency anemia are quite frequent. The aim was the evaluation of the part played by gastrointestinal examinations for the diagnosis of iron-deficiency anemia. There were 115 patients admitted in the Medical Clinic between 1998-1999, with iron-deficiency anemia in the absence of macroscopic bleeding who carried out upper or lower endoscopy. A digestive lesion which account for iron deficiency anemia was identified in 35% of the cases. In the upper digestive tract there were 60%, in decreasing order of frequency: peptic ulcer, gastric cancer, erosive gastritis, angiodysplasia. In the lower digestive tract were 35% of the cases (colorectal cancer, polyps, angiodysplasia and hemorrhoids). In 5% of the cases there were found synchronization of the digestive tract lesions. So the digestive tract examination is worth doing because it establishes the diagnosis in 35% of the cases with few symptoms. The digestive tract lesions are more frequent in the upper tract, but they are more severe in the lower digestive tract. The possibility of the synchronization of lesions proves the necessity of carrying out the complete examination of the whole digestive tract.
根据文献记载，因缺铁性贫血进行胃肠病学会诊的情况相当常见。目的是评估胃肠检查在缺铁性贫血诊断中所起的作用。1998年至1999年间，有115例缺铁性贫血且无肉眼可见出血的患者入住内科诊所，并接受了上消化道或下消化道内镜检查。在35%的病例中发现了导致缺铁性贫血的消化性病变。在上消化道中，此类病变占60%，按频率递减顺序依次为：消化性溃疡、胃癌、糜烂性胃炎、血管发育异常。在下消化道中，此类病变占35%（包括结直肠癌、息肉、血管发育异常和痔疮）。在5%的病例中发现了消化道病变的同步性。因此，消化道检查值得进行，因为它能在35%症状轻微的病例中确诊。消化道病变在上消化道更为常见，但在下消化道更为严重。病变同步的可能性证明了对整个消化道进行全面检查的必要性。
