Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Evaluation of the Gastrointestinal Tract in a Young Patient with Iron Deficiency Anemia – A Case Report


Affiliations
1 Assistant Professor, Department of Gastroenterology, IGMC- Shimla, India
2 Professor, Department of Gastroenterology IGMC- Shimla, India
3 Associate Professor, Department of Gastroenterology IGMC- Shimla, India
4 Senior Resident, Department of Gastroenterology IGMC- Shimla, India
     

   Subscribe/Renew Journal


Iron deficiency anemia is not a disease in itself, but may be a manifestation of a serious underlying disease such as malignancy. The incidence of colorectal and gastric cancer in younger individuals is low. Therefore, the yield of upper and lower gastrointestinal tract examinations in young men with IDA to evaluate for the presence of GI pathology may also be lower than that in older men. So evidence for the necessity of endoscopy in young men with IDA is significantly lacking. Here we present a case of chronic iron deficiency anemia in a young 25 year old male patient, who on evaluation was found to have sporadic stage IV colonic carcinoma.

Keywords

Iron Deficiency Anemia, Esophagogastroduodenoscopy, Contrast Enhanced Tomography, PET, Gastrointestinal, FNAC.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Short MW, Domagalski JE. Iron deficiency anemia: evaluation and management. Am Fam Physician 2013; 87:98–104.
  • Johnson-Wimbley TD, Graham DY. Diagnosis and management of iron deficiency anemia in the 21st century. Therap Adv Gastroenterol 2011; 4:177–184.
  • Goddard AF, James MW, McIntyre AS, Scott BB, British Society of Gastroenterology. Guidelines for the management of iron deficiency anaemia. Gut 2011;60:1309–1316
  • Kim NH, Park JH, Park DI, et al. Should asymptomatic young men with iron deficiency anemia necessarily undergo endoscopy? Korean J Intern Med. 2018 Jan 5.
  • Rockey DC, Cello JP. Evaluation of the gastrointestinal tract in patients with iron-deficiency anemia. N Engl J Med 1993; 329:1691–1695.
  • Ioannou GN, Rockey DC, Bryson CL, Weiss NS. Iron deficiency and gastrointestinal malignancy: a population- based cohort study. Am J Med 2002; 113:276–280.
  • Inra JA, Syngal S. Colorectal cancer in young adults. Dig Dis Sci 2015; 60:722–733.
  • Karimi P, Islami F, Anandasabapathy S, Freedman ND, Kamangar F. Gastric cancer: descriptive epidemiology, risk factors, screening, and prevention. Cancer Epidemiol Biomarkers Prev 2014; 23:700–713.
  • Venugopal, A., Stoffel, E.M. Colorectal Cancer in Young Adults. Curr Treat Options Gastro 17, 89–98 (2019).

Abstract Views: 249

PDF Views: 0




  • Evaluation of the Gastrointestinal Tract in a Young Patient with Iron Deficiency Anemia – A Case Report

Abstract Views: 249  |  PDF Views: 0

Authors

Vishal Bodh
Assistant Professor, Department of Gastroenterology, IGMC- Shimla, India
Brij Sharma
Professor, Department of Gastroenterology IGMC- Shimla, India
Rajesh Sharma
Associate Professor, Department of Gastroenterology IGMC- Shimla, India
Rajesh Kumar
Senior Resident, Department of Gastroenterology IGMC- Shimla, India

Abstract


Iron deficiency anemia is not a disease in itself, but may be a manifestation of a serious underlying disease such as malignancy. The incidence of colorectal and gastric cancer in younger individuals is low. Therefore, the yield of upper and lower gastrointestinal tract examinations in young men with IDA to evaluate for the presence of GI pathology may also be lower than that in older men. So evidence for the necessity of endoscopy in young men with IDA is significantly lacking. Here we present a case of chronic iron deficiency anemia in a young 25 year old male patient, who on evaluation was found to have sporadic stage IV colonic carcinoma.

Keywords


Iron Deficiency Anemia, Esophagogastroduodenoscopy, Contrast Enhanced Tomography, PET, Gastrointestinal, FNAC.

References