Anemia in a gastroenterological patient: ways to solve the problem
- Autores: Tarasova L.V1,2, Busalaeva E.I3,2
-
Afiliações:
- Surgut State University
- I.N. Ulyanov Chuvash State University
- Postgraduate Doctors' Training Institute of the Ministry of Health of the Chuvash Republic
- Edição: Volume 26, Nº 2 (2019)
- Páginas: 116-120
- Seção: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/296706
- DOI: https://doi.org/10.18565/pharmateca.2019.2.116-120
- ID: 296706
Citar
Texto integral
![Acesso aberto](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_open.png)
![Acesso é fechado](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_unlock.png)
![Acesso é fechado](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
Resumo
Background. Anemia is never the normal condition and often is associated with gastrointestinal pathology. For the practitioner, it is important to analyze not only the hemoglobin level, but also a number of erythrocyte indices. This will allow to correctly build a differential diagnostic search. Description of a series of clinical cases. Patient B., 53 years old. In order to reduce weight, he has dramatically changed the nature of his diet, incl. completely abandoned animal food. He lost 16 kg, began to notice weakness, decreased exercise tolerance, and increased dyspnea. A progressive decrease in blood hemoglobin level to 111 g/l, and then to 85 was noted. During the examination to clarify the cause of anemia, a colon tumor was detected. Patient T., 70 years old. During the last 2 years he decided to completely abandon animal products in order to “purify the body and normalize cholesterol level". The hemoglobin level decreased from 142 to 90 g/l against the background of a sharp drop in the ferritin level. Clinical and laboratory remission was achieved after two infusions of iron carboxymaltosate. Conclusion. Against the background of gastrointestinal pathology, anemia occurs quite often and has a heterogeneous nature. Timely recognition and correction of anemia can improve the patient’s quality of life. Iron deficiency anemia requires the obligatory replacement of not only functional iron in erythrocytes, but also replenishment of the depot, and ferritin level is a marker of iron depot. Iron carboxymaltosate allows to quickly solve these problems, easy to use, including in the settings of day inpatient facility and medical treatment room.
Palavras-chave
Texto integral
![Acesso é fechado](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
Sobre autores
L. Tarasova
Surgut State University; I.N. Ulyanov Chuvash State University
E. Busalaeva
Postgraduate Doctors' Training Institute of the Ministry of Health of the Chuvash Republic; I.N. Ulyanov Chuvash State University
Email: tlarisagast18@mail.ru
PhD, Associate Professor, Department of Therapy and Family Medicine; Associate Professor, Department of Faculty and Hospital Therapy, Faculty of Medicine
Bibliografia
- Верткин А.Л., Годулян О.В., Городецкий В.В., Скотников А.С. Железодефицитная анемия и выбор препарата для ее коррекции. РМЖ. 2010;5:260-66.
- Стуклов Н.И., Митченкова А.А. Анемия и дефицит железа. Глобальные проблемы и алгоритмы лечения. Терапия. 2018;6(24):147-56.
- Чернов В.М., Тарасова И.С., Румянцев А.Г. Анемия в практике терапевта и принципы ее коррекции. Лечебное дело. 2011;1:64-77.
- Дворецкий Л.И. Железодефицитная анемия в реальной клинической практике. Фарматека. 2012;2(235):78-84.
- Низовцов О.А. Особенности лечения железодефицитных состояний в гастроэнтерологии. Трудный пациент. 2012;6(10):16-24.
- Моисеев С.В. Внутривенные препараты железа в лечении железодефицитных анемий. Фарматека. 2015;20(313):78-82.
- Моисеев С.В. Влияние внутривенных препаратов железа на потребность в гемотрансфузиях при анемии. Клиническая фармакология и терапия. 2013;22(5):2-6.
- Рогачевский О.В., Моисеев С.В. Клиническое значение и лечение анемии в предоперационном периоде. Онкогинекология. 2015;3:57-65.
- Правила клинического использования донорской крови и ее компонентов. Приказ МЗ РФ № 183н от 02.14.2013. URL:http://base. garant.ru
- Приказ Министерства здравоохранения РФ «Об утверждении инструкции по применению компонентов крови» № 363 от 25.11.2002. URL: http://medznate.ru/docs/index-82878.html
- Evstatiev R., Marteau P., Iqbal T. et al.; FERGI Study Group. FERGIcor, a randomized con-trolled trial on ferric carboxymaltose for iron deficiency anemia in inflammatory bowel disease. Gastroenterology 2011;141(3):846-53.
- Инструкция по применению лекарственного препарата Феринжект® РУ ЛСР-0038848/10. URL: http://grls.rosminzdrav.ru (дата доступа 23.10.2018).
Arquivos suplementares
![](/img/style/loading.gif)