鉄欠乏性貧血患者の胃腸内視鏡検査の診断結果
Anand Kumar Raghavendran1, Shiran Shetty2, Balaji Musunuri3
1Registrar, Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
The Journal of the Association of Physicians of India
|August 21, 2025
まとめ
胃腸内視鏡検査は,鉄欠乏性貧血 (IDA) の診断に不可欠です. 大腸内視鏡 (52. 4%) と上部内視鏡 (43. 6%) で重大な病変が明らかになり,症状が最良のアプローチを導く.
科学分野:
- 胃腸内科
- 血液学
- 診断用内視鏡検査
背景:
- 鉄欠乏性貧血 (IDA) は,世界的な健康問題です.
- IDAにおける内視病変の識別は,地域や患者の要因によって異なります.
- この研究では,インド IDA のコホートにおける内視診断の成果を評価した.
研究 の 目的:
- IDA患者における上部腸内視鏡検査と大腸内視鏡検査の診断性能を評価する.
- インドの IDA に関連する一般的な内視鏡検査の発見を特定する.
- 診断結果に影響を与える要因を決定する.
主な方法:
- 2016年1月から2023年3月までのIDAで評価された554人の患者の遡及分析.
- 人口統計データ,内視検査結果,検査パラメータを含む.
- 上部腸内視鏡検査 (n=435) と大腸内視鏡検査 (n=309) のデータ分析
主要な成果:
- 上部内視鏡検査は43. 6%で,大腸内視鏡検査は52. 4%で有意な病変を示した.
- 胃潰瘍 (13. 3%) と食道静脈 (8. 3%) が一般的な上部胃腸疾患でした.
- 結腸鏡検査で結腸潰瘍 (25. 24%) と悪性腫瘍 (12%) が多く見られ,症状は収量と相関していた (p < 0. 05).
結論:
- 胃腸内視鏡検査は,IDAの診断に不可欠です.
- 症状の存在は,最初の内視鏡検査の選択を導くべきです.
- 年齢に関係なく,すべてのIDA患者に対して内視鏡検査が推奨されます.
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