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Anemia and inflammatory bowel diseases

查看全文 作  者:Fernando [1]Gomollón;Javier P [2]Gisbert 高影响力作者 机构地区:[1]Gastroenterology Unit, Clinical Universitary Hospital 'Lozano Blesa', CIBEREHD, Avenida San Juan Bosco 15, Zaragoza 50009, Spain;[2]Gastroenterology Unit, Universitary Hospital 'La Princesa', CIBEREHD, C/Diego de León 62, Madrid 28006, Spain高影响力机构 出  处:《World Journal of Gastroenterology》索引2009年第15卷第37期,共7页高影响力期刊 摘  要:Too often anemia is considered a rare or unimportant manifestation in inflammatory bowel disease (IBD). However, over the last 10 years a number of studies have been conducted and the most relevant conclusions obtained are: (1) anemia is quite common in IBD; (2) although in many cases anemia parallels the clinical activity of the disease, many patients in remission have anemia, and iron, vitamin B12 and/or folic acid deficiency; (3) anemia, and also iron def iciency without anemia, have important consequences in the clinical status and quality of life of the patient; (4) oral iron can lead to gastrointestinal intolerance and failure of treatment; (5) intravenous iron is an effective and safe way to treat iron deficiency; (6) erythropoietin is needed in a significant number of cases to achieve normal hemoglobin levels. Thus, the clinician caring for IBD patients should have a comprehensive knowledge of anemia, and apply recently published guidelines in clinical practice. 关 键 词:贫血 肠道 疾病 炎症 传染性法氏囊病 促红细胞生成素 维生素B12 临床护理
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