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
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