dc.contributor.author | Mearina, Fermín | |
dc.contributor.author | Lanas, Ángel | |
dc.contributor.author | Bujanda Fernández de Pierola, Luis | |
dc.contributor.author | Canelles, Pilar | |
dc.contributor.author | Cotter, José | |
dc.contributor.author | Hervás, Antonio | |
dc.contributor.author | Martín de Argila, Carlos | |
dc.contributor.author | Montoro, Miguel | |
dc.contributor.author | Gisbert, Javier P. | |
dc.date.accessioned | 2019-05-29T13:04:22Z | |
dc.date.available | 2019-05-29T13:04:22Z | |
dc.date.issued | 2018-01 | |
dc.identifier.citation | Gastroenterología y hepatología 41(1) : 63-76 (2018) | es_ES |
dc.identifier.issn | 0210-5705 | |
dc.identifier.uri | http://hdl.handle.net/10810/33014 | |
dc.description.abstract | Despite high prevalence of iron deficiency anemia (IDA) in patients with acute or chronic gastrointestinal bleeding (GIB), IDA and iron deficiency (ID) are frequently untreated. Reasons may be misconceptions about the impact and diagnosis of IDA and the efficacy of new treatments. Addressing these misconceptions, this article summarizes current evidence for better understanding and management of GIB-associated IDA. Despite only few controlled studies evaluated the efficacy of iron treatment in patients with GIB, there is consistent evidence suggesting that: (a) IDA should be diligently investigated, (b) effective treatment of ID/IDA improves outcomes such as health-related quality of life and can avoid severe cardiovascular consequences, and (c) intravenous iron should be considered as well-tolerated treatment in this setting. Overall, the misconceptions and practices outlined in this article should be replaced with strategies that are more in line with current guidelines and best practice in GIB and other underlying conditions of ID/IDA. (C) 2017 The Authors. Published by Elsevier Espana, S.L.U. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Elsevier | es_ES |
dc.rights | info:eu-repo/semantics/openAccess | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.subject | anemia | es_ES |
dc.subject | iron | es_ES |
dc.subject | gastrointestinal bleeding | es_ES |
dc.subject | diagnosis | es_ES |
dc.subject | treatments iron-deficiency anemia | es_ES |
dc.subject | inflammatory-bowel-disease | es_ES |
dc.subject | quality-of-life | es_ES |
dc.subject | red-cell utilization | es_ES |
dc.subject | fast-track anemia | es_ES |
dc.subject | y gastric bypass | es_ES |
dc.subject | ferric carboxymaltose | es_ES |
dc.subject | intravenous iron | es_ES |
dc.subject | heart-failure | es_ES |
dc.subject | oral iron | es_ES |
dc.title | Open questions and misconceptions in the diagnosis and management of anemia in patients with gastrointestinal bleeding | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.holder | 2017 TheAuthor(s). Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). | es_ES |
dc.rights.holder | Atribución-NoComercial-SinDerivadas 3.0 España | * |
dc.relation.publisherversion | https://www.sciencedirect.com/science/article/pii/S2444382417301517?via%3Dihub | es_ES |
dc.identifier.doi | 10.1016/j.gastrohep.2017.08.012 | |
dc.departamentoes | Medicina | es_ES |
dc.departamentoeu | Medikuntza | es_ES |