Gastrointestinal investigations for anaemia in the elderly: a prospective study.

Abstract:

:Of 60 patients referred for geriatric assessment with clinically significant hypochromic anaemia, in the absence of frank bleeding, 44 underwent upper gastrointestinal and 27 lower gastrointestinal investigations. The probability of identifying a potential cause at upper gastrointestinal endoscopy was three times that at barium enema, and five times that at sigmoidoscopy, and the lesions identified at endoscopy were more likely to need treatment. Of 41 who completed investigation, a cause was found in 36, upper gastrointestinal in 29, colonic in six and ileal in one. Six upper gastrointestinal and three colonic lesions were found in the 11 of these without gastrointestinal symptoms. Upper gastrointestinal endoscopy in elderly patients with unexplained hypochromic anaemia will identify a treatable cause in a high proportion of cases.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Calvey HD,Castleden CM

doi

10.1093/ageing/16.6.399

subject

Has Abstract

pub_date

1987-11-01 00:00:00

pages

399-404

issue

6

eissn

0002-0729

issn

1468-2834

journal_volume

16

pub_type

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