Calvey H D, Castleden C M
Leicester General Hospital, Department of Geriatric Medicine.
Age Ageing. 1987 Nov;16(6):399-404. doi: 10.1093/ageing/16.6.399.
Of 60 patients referred for geriatric assessment with clinically significant hypochromic anaemia, in the absence of frank bleeding, 44 underwent upper gastrointestinal and 27 lower gastrointestinal investigations. The probability of identifying a potential cause at upper gastrointestinal endoscopy was three times that at barium enema, and five times that at sigmoidoscopy, and the lesions identified at endoscopy were more likely to need treatment. Of 41 who completed investigation, a cause was found in 36, upper gastrointestinal in 29, colonic in six and ileal in one. Six upper gastrointestinal and three colonic lesions were found in the 11 of these without gastrointestinal symptoms. Upper gastrointestinal endoscopy in elderly patients with unexplained hypochromic anaemia will identify a treatable cause in a high proportion of cases.
在60例因具有临床意义的低色素性贫血而接受老年评估的患者中，在无明显出血的情况下，44例接受了上消化道检查，27例接受了下消化道检查。上消化道内镜检查发现潜在病因的概率是钡灌肠的三倍，是乙状结肠镜检查的五倍，并且内镜检查发现的病变更有可能需要治疗。在41例完成检查的患者中，36例找到了病因，其中29例为上消化道病因，6例为结肠病因，1例为回肠病因。在这些患者中有11例无胃肠道症状，其中发现了6例上消化道病变和3例结肠病变。对原因不明的低色素性贫血老年患者进行上消化道内镜检查，在很大比例的病例中能找出可治疗的病因。
