The Utility of Capsule Endoscopy in Patients under 50 Years of Age with Recurrent Iron Deficiency Anaemia: Is the Juice Worth the Squeeze?

Joint Authors

Sidhu, Prabhjot Singh
Drew, Kaye
Sidhu, Reena
McAlindon, Mark Edward

Source

Gastroenterology Research and Practice

Issue

Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2015-04-01

Country of Publication

Egypt

No. of Pages

5

Main Subjects

Diseases

Abstract EN

Background and Aims.

The role of capsule endoscopy (CE) in the <50 years of age patients with iron deficiency anaemia (IDA) remains unclear.

We aim to assess its utility in this cohort.

Methods.

All patients referred for CE for recurrent IDA were included retrospectively.

Patients were divided into Group 1 (<50 years) and Group 2 (≥50 years).

Results.

There were 971 patients with recurrent IDA and 28% belonged to Group 1.

The mean age was 40 years in this group with a DY of 28% ( n = 76 ).

Significant diagnoses included erosions and ulcers (26%; n = 71 ), small bowel (SB) angioectasia (AE) (10%; n = 27 ), SB tumours (3%; n = 7 ), Crohn’s disease (3%; n = 7 ), SB bowel strictures (1%; n = 3 ), and SB varices (1%; n = 2 ).

On logistic regression, the presence of diabetes ( P = 0.02 ) and the use of warfarin ( P = 0.049 ) was associated with increased DY.

The DY in Group 2 was 38% which was significantly higher than in Group 1 ( P = 0.02 ).

While SB tumours were equally common in both groups, AE was commoner in Group 2 ( P < 0.001 ).

Conclusion.

A significant proportion of patients <50 years are referred for CE.

Although the DY is lower compared to those ≥50 years, significant pathology is found in this age group.

CE is advisable in patients <50 years old with recurrent IDA and negative bidirectional endoscopies.

American Psychological Association (APA)

Sidhu, Prabhjot Singh& McAlindon, Mark Edward& Drew, Kaye& Sidhu, Reena. 2015. The Utility of Capsule Endoscopy in Patients under 50 Years of Age with Recurrent Iron Deficiency Anaemia: Is the Juice Worth the Squeeze?. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1064359

Modern Language Association (MLA)

Sidhu, Prabhjot Singh…[et al.]. The Utility of Capsule Endoscopy in Patients under 50 Years of Age with Recurrent Iron Deficiency Anaemia: Is the Juice Worth the Squeeze?. Gastroenterology Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1064359

American Medical Association (AMA)

Sidhu, Prabhjot Singh& McAlindon, Mark Edward& Drew, Kaye& Sidhu, Reena. The Utility of Capsule Endoscopy in Patients under 50 Years of Age with Recurrent Iron Deficiency Anaemia: Is the Juice Worth the Squeeze?. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1064359

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1064359