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Treatmentof IronDeficiencyAnemia
         Associatedwith
     GastrointestinalDiseases


                 Authors:
   Ulas D Bayraktar and Soley Bayraktar
Introduction


o The GI tract is a common site of bleeding that may lead to iron deficiency
   anemia (IDA).

o Treatment varies based on patient¡¯s signs & symptoms:

         Red blood cell transfusion & Oral iron preparations have side effects
         The bone marrow examination is not accurate



o Raise awareness of parenteral iron therapies in the treatment of IDA linked
   with GI diseases, particularly inflammatory bowel diseases (IBDs).
Etiology
Methods

             Oral Iron Replacement                              Parenteral Iron Replacement
o Asymptomatic and mildly symptomatic patients       o Cannot be treated adequately with oral iron
  with IDA                                             supplements due to severe GI side effects, etc.


o Same efficacy & side effects between ferrous       o Many clinicians have been reluctant due to the
  sulfate, ferrous gluconate, and ferrous fumarate     rarely lethal hypersensitive reactions to high
  in a randomized, double blind study                  molecular weight iron dextran infusions


o To avoid GI side effects and consequent non-       o Ferric Carboxymaltose (FeCarb) is a novel
  compliance, oral iron should be started at a low     parenteral iron complex with a favorable side
  dose once daily after meals                          effect profile
Results

                Parenteral therapy                                               Oral iron therapy
o   May be more advantageous due to low iron absorption      o     High incidence of GI side effects (epigastric pain and
    from the GI tract & lower compliance to the oral               diarrhea) that lead to discontinuation of therapy in up
    therapy.                                                       to 21% of patients

o   Useful in patients with moderate-severe active IBD       o     may worsen IBD as a result of non-absorbed iron-
                                                                   mediated toxic reactive oxygen species.
o   Quicker response
                                                             o     Does not have life-threatening side effects

                                                             o     More convenient for some patients
Cont.
Conclusion

o As of Dec. 2009, FeCarb has not been evaluated by the Food and Drug
  Administration.

o Novel parenteral iron preparations are safer than high molecular weight iron
  dextran & are more useful due to GI side effects of oral iron therapy.




                 Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2883127/?tool=pubmed
Presented by

Christina Salacup

More Related Content

Presentation Design for Medical Research Study

  • 1. Treatmentof IronDeficiencyAnemia Associatedwith GastrointestinalDiseases Authors: Ulas D Bayraktar and Soley Bayraktar
  • 2. Introduction o The GI tract is a common site of bleeding that may lead to iron deficiency anemia (IDA). o Treatment varies based on patient¡¯s signs & symptoms: Red blood cell transfusion & Oral iron preparations have side effects The bone marrow examination is not accurate o Raise awareness of parenteral iron therapies in the treatment of IDA linked with GI diseases, particularly inflammatory bowel diseases (IBDs).
  • 4. Methods Oral Iron Replacement Parenteral Iron Replacement o Asymptomatic and mildly symptomatic patients o Cannot be treated adequately with oral iron with IDA supplements due to severe GI side effects, etc. o Same efficacy & side effects between ferrous o Many clinicians have been reluctant due to the sulfate, ferrous gluconate, and ferrous fumarate rarely lethal hypersensitive reactions to high in a randomized, double blind study molecular weight iron dextran infusions o To avoid GI side effects and consequent non- o Ferric Carboxymaltose (FeCarb) is a novel compliance, oral iron should be started at a low parenteral iron complex with a favorable side dose once daily after meals effect profile
  • 5. Results Parenteral therapy Oral iron therapy o May be more advantageous due to low iron absorption o High incidence of GI side effects (epigastric pain and from the GI tract & lower compliance to the oral diarrhea) that lead to discontinuation of therapy in up therapy. to 21% of patients o Useful in patients with moderate-severe active IBD o may worsen IBD as a result of non-absorbed iron- mediated toxic reactive oxygen species. o Quicker response o Does not have life-threatening side effects o More convenient for some patients
  • 7. Conclusion o As of Dec. 2009, FeCarb has not been evaluated by the Food and Drug Administration. o Novel parenteral iron preparations are safer than high molecular weight iron dextran & are more useful due to GI side effects of oral iron therapy. Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2883127/?tool=pubmed