Evaluation of the Gastrointestinal Tract in a Young Patient with Iron Deficiency Anemia – A Case Report
Keywords:
Iron deficiency anemia, Esophagogastroduodenoscopy, Contrast enhanced tomography, PET, Gastrointestinal, FNAC.
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.
References
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2. Johnson-Wimbley TD, Graham DY. Diagnosis and management of iron deficiency anemia in the 21st century. Therap Adv Gastroenterol 2011; 4:177–184.
3. 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
4. Kim NH, Park JH, Park DI, et al. Should asymptomaticyoung men with iron deficiency anemia necessarily undergo endoscopy? Korean J Intern Med. 2018 Jan 5.
5. Rockey DC, Cello JP. Evaluation of the gastrointestinal tract in patients with iron-deficiency anemia. N Engl J Med 1993; 329:1691–1695.
6. 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.
7. Inra JA, Syngal S. Colorectal cancer in young adults. Dig Dis Sci 2015; 60:722–733.
8. 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.
9. Venugopal, A., Stoffel, E.M. Colorectal Cancer in Young Adults. Curr Treat Options Gastro 17, 89–98 (2019).
Published
2020-08-28
How to Cite
Dr. Vishal Bodh , Dr. Brij Sharma, Dr. Rajesh Sharma, Dr. Rajesh Kumar. (2020). Evaluation of the Gastrointestinal Tract in a Young Patient with Iron Deficiency Anemia – A Case Report. The Indian Practitioner, 73(8), 46-48. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/1033
Section
Case Reports
