Anemia en la enfermedad inflamatoria intestinal: un objetivo subestimado / Anemia in inflammatory bowel disease
Rev. med. Chile
; 150(8): 1063-1074, ago. 2022. tab, graf
Article
em Es
| LILACS
| ID: biblio-1431876
Biblioteca responsável:
CL126.2
ABSTRACT
Anemia is the most common extraintestinal manifestation of inflammatory bowel disease (IBD). Although there are several causes of anemia in IBD, the two most frequent etiologies are iron deficiency anemia and anemia of chronic disease. Despite the high prevalence of anemia in IBD and its significant impact on patient's quality of life, this complication is still underdiagnosed and undertreated by providers. Active screening for anemia, structured assessment, comprehensive management, and multidisciplinary collaboration are needed in IBD patients. The cornerstone of anemia management depends on the underlying etiology along with normalization of inflammatory activity. Although, oral iron is effective for the treatment of mild iron deficiency-related anemia, intravenous iron formulations have a good safety profile and can be used as first-line therapy in patients with active IBD, severe anemia and previous intolerance prior to oral iron. After proper treatment of anemia, careful monitoring is necessary to prevent its recurrence. Herein, we discuss the etiology, screening, diagnosis, therapy selection, and follow-up for anemia in IBD.
Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Doenças Inflamatórias Intestinais
/
Anemia Ferropriva
/
Anemia
Tipo de estudo:
Risk_factors_studies
Limite:
Humans
Idioma:
Es
Revista:
Rev Med Chil
/
Rev. med. Chile
/
Rev. méd. Chile
/
Rev. méd. Chile (En línea)
/
Revista médica de Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2022
Tipo de documento:
Article