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Anemia and inflammatory bowel diseases Gomollon F; Gisbert JPWorld J Gastroenterol 2009[Oct]; 15 (37): 4659-65Too 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 deficiency 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.|Anemia, Iron-Deficiency/epidemiology[MESH]|Anemia/*diagnosis/epidemiology/etiology/*therapy[MESH]|Dietary Supplements[MESH]|Erythropoietin/therapeutic use[MESH]|Humans[MESH]|Inflammatory Bowel Diseases/*complications/epidemiology/metabolism[MESH]|Iron Deficiencies[MESH]|Iron/metabolism/therapeutic use[MESH]|Prevalence[MESH]|Quality of Life[MESH]|Treatment Outcome[MESH] |
