Evaluation Of The Frequency Of Malignancies In Patients Who Performed Gastroscopy And Colonoscopy Because Of Iron Deficiency Anemia

Research Article

Abstract

Aim: In this study, we aim to present the results of patients in our clinic who underwent colonoscopy and gastroscopy because of iron deficiency.

Method: Patients who underwent gastroscopy and colonoscopy for the etiology screening of iron deficiency anemia in Ankara Ataturk Sanatorium Training and Research Hospital Gastroenterology Department between July 2021 and December 2022 were included in the study. Age, gender, anamnesis and endoscopic results of the patients were acquired retrospectively via investigation of patients files. SPSS 21.0 for statistical analysis Windows program used.Descriptive statistical methods(mean,standard) were used.

Results: The mean age of men was 63.6±7.4 years, and the mean age of women was 58.4±8.6 years. During this period, colonoscopy was requested in 576 (20%) of 2880 patients due to the etiology of iron deficiency anemia. Of the patients, 280 (48.6%) were male and 296 (51.4%) were female. Gastroscopy was performed in 496 of the cases. Although colonoscopy was normal, there were 40 (6.9%) patients who did not undergo gastroscopy. 205 (35.6%) patients had no endoscopic finding to explain anemia and 296 (51.4%) had no colonoscopic polyps or carcinomas and no colonoscopic findings to explain anemia. Colonoscopy was normal in 98 (17%) of the patients and there was no significant feature in esophagogastroscopy.

Conclusion: In the patients included in the study, polyps were detected in 52.4% of the patients and adenocarcinoma in 6.5% of the patients during colonoscopy.When investigating the cause of IDA, it should be kept in mind that there might be several underlying causes, especially if a pathology originating from the gastrointestinal tract is considered.