REHABILITATION OF IRON DEFICIENCY ANEMIA IN PATIENTS WITH PATHOLOGY OF THE GASTROINTESTINAL SYSTEM

Аннотация

Iron deficiency anemia (IDA) is associated with several pathologic conditions of the gastrointestinal tract. In addition to inflammatory bowel disease, IDA is often associated with chronic liver disease. Different factors such as chronic blood loss, malabsorption, inflammation, may contribute to the development of IDA. Although patients with symptoms of anemia often initially turn to gastroenterologists approach to diagnosis and treatment, as well as measures for subsequent monitoring of the patient are not standardized and optimal. Iron deficiency, even without the development of symptoms of anemia, can significantly affect the physical health and cognitive function, reduce quality of life. So important is regular assessment of iron concentration and understanding of the clinical consequences of reducing the concentration of serum iron by specialists of different profile: gastroenterologists, surgeons, internists. Currently, the range of treatment options awaiting increases due to the introduction into clinical practice of effective and well-tolerated iron preparations for parenteral administration. Available in scientific periodicals there is a lack of systematic reviews for the treatment of IDA and, in particular, its treatment for patients with diseases of the gastrointestinal tract. In the presented review summarizes the current understanding of the period of awaiting for specific gastrointestinal and hepatic disorders and discusses a unified approach to the treatment of anemia and iron deficiency in daily clinical practice.