Diagnosis of chronic anaemia in gastrointestinal disorders

A guideline by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) and the Italian Society of Paediatric Gastroenterology Hepatology and Nutrition (SIGENP)

Luca Elli, Lorenzo Norsa, Angelo Zullo, Antonio Carroccio, Carlo Girelli, Salvatore Oliva, Claudio Romano, Gioacchino Leandro, Massimo Bellini, Riccardo Marmo, Marco Soncini, Fabio Monica, Vincenzo De Francesco, Emma Paulon, Maria Domenica Cappellini, Irene Motta, Francesca Ferretti, Stefania Orlando, Pasquale Mansueto, Elisabetta Buscarini & 4 others Guido Manfredi, Carlo Agostoni, Carolina Tomba, Renato Cannizzaro

Research output: Contribution to journalReview article

Abstract

Anaemia is a common pathologic condition, present in almost 5% of the adult population. Iron deficiency is the most common cause; other mechanisms can be involved, making anaemia a multi-factorial disorder in most cases. Anaemia being a frequent manifestation in the diseases of the gastrointestinal tract, patients are often referred to gastroenterologists. Furthermore, upper and lower endoscopy and enteroscopy are pivotal to the diagnostic roadmap of anaemia. In spite of its relevance in the daily clinical practice, there is a limited number of gastroenterological guidelines dedicated to the diagnosis of anaemia. For this reason, the Italian Association of Hospital Gastroenterologists and Endoscopists and the Italian Society of Paediatric Gastroenterology, Hepatology and Nutrition commissioned a panel of experts to prepare a specific guideline on anaemia and its diagnostic roadmap in the gastroenterological scenario. The panel also discussed about the potential involvement of gastroenterologists and endoscopists in the management of patients with anaemia, with particular attention to the correct use of investigations. The panel paid particular attention to practical issues with the aim to support gastroenterologists in their clinical practice when dealing with patients with anaemia.

Original languageEnglish
Pages (from-to)471-483
Number of pages13
JournalDigestive and Liver Disease
Volume51
Issue number4
DOIs
Publication statusPublished - Apr 1 2019

Fingerprint

Gastroenterology
Anemia
Guidelines
Pediatrics
Gastroenterologists
Endoscopy
Gastrointestinal Tract
Iron
Population

Keywords

  • Anaemia
  • Celiac disease
  • Endoscopy
  • H. pylori
  • Inflammatory bowel disease
  • Iron deficiency
  • Small bowel

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Diagnosis of chronic anaemia in gastrointestinal disorders : A guideline by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) and the Italian Society of Paediatric Gastroenterology Hepatology and Nutrition (SIGENP). / Elli, Luca; Norsa, Lorenzo; Zullo, Angelo; Carroccio, Antonio; Girelli, Carlo; Oliva, Salvatore; Romano, Claudio; Leandro, Gioacchino; Bellini, Massimo; Marmo, Riccardo; Soncini, Marco; Monica, Fabio; De Francesco, Vincenzo; Paulon, Emma; Cappellini, Maria Domenica; Motta, Irene; Ferretti, Francesca; Orlando, Stefania; Mansueto, Pasquale; Buscarini, Elisabetta; Manfredi, Guido; Agostoni, Carlo; Tomba, Carolina; Cannizzaro, Renato.

In: Digestive and Liver Disease, Vol. 51, No. 4, 01.04.2019, p. 471-483.

Research output: Contribution to journalReview article

Elli, L, Norsa, L, Zullo, A, Carroccio, A, Girelli, C, Oliva, S, Romano, C, Leandro, G, Bellini, M, Marmo, R, Soncini, M, Monica, F, De Francesco, V, Paulon, E, Cappellini, MD, Motta, I, Ferretti, F, Orlando, S, Mansueto, P, Buscarini, E, Manfredi, G, Agostoni, C, Tomba, C & Cannizzaro, R 2019, 'Diagnosis of chronic anaemia in gastrointestinal disorders: A guideline by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) and the Italian Society of Paediatric Gastroenterology Hepatology and Nutrition (SIGENP)', Digestive and Liver Disease, vol. 51, no. 4, pp. 471-483. https://doi.org/10.1016/j.dld.2019.01.022
Elli, Luca ; Norsa, Lorenzo ; Zullo, Angelo ; Carroccio, Antonio ; Girelli, Carlo ; Oliva, Salvatore ; Romano, Claudio ; Leandro, Gioacchino ; Bellini, Massimo ; Marmo, Riccardo ; Soncini, Marco ; Monica, Fabio ; De Francesco, Vincenzo ; Paulon, Emma ; Cappellini, Maria Domenica ; Motta, Irene ; Ferretti, Francesca ; Orlando, Stefania ; Mansueto, Pasquale ; Buscarini, Elisabetta ; Manfredi, Guido ; Agostoni, Carlo ; Tomba, Carolina ; Cannizzaro, Renato. / Diagnosis of chronic anaemia in gastrointestinal disorders : A guideline by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) and the Italian Society of Paediatric Gastroenterology Hepatology and Nutrition (SIGENP). In: Digestive and Liver Disease. 2019 ; Vol. 51, No. 4. pp. 471-483.
@article{5a5f5cb9870948579a0f9a0739ab4d3c,
title = "Diagnosis of chronic anaemia in gastrointestinal disorders: A guideline by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) and the Italian Society of Paediatric Gastroenterology Hepatology and Nutrition (SIGENP)",
abstract = "Anaemia is a common pathologic condition, present in almost 5{\%} of the adult population. Iron deficiency is the most common cause; other mechanisms can be involved, making anaemia a multi-factorial disorder in most cases. Anaemia being a frequent manifestation in the diseases of the gastrointestinal tract, patients are often referred to gastroenterologists. Furthermore, upper and lower endoscopy and enteroscopy are pivotal to the diagnostic roadmap of anaemia. In spite of its relevance in the daily clinical practice, there is a limited number of gastroenterological guidelines dedicated to the diagnosis of anaemia. For this reason, the Italian Association of Hospital Gastroenterologists and Endoscopists and the Italian Society of Paediatric Gastroenterology, Hepatology and Nutrition commissioned a panel of experts to prepare a specific guideline on anaemia and its diagnostic roadmap in the gastroenterological scenario. The panel also discussed about the potential involvement of gastroenterologists and endoscopists in the management of patients with anaemia, with particular attention to the correct use of investigations. The panel paid particular attention to practical issues with the aim to support gastroenterologists in their clinical practice when dealing with patients with anaemia.",
keywords = "Anaemia, Celiac disease, Endoscopy, H. pylori, Inflammatory bowel disease, Iron deficiency, Small bowel",
author = "Luca Elli and Lorenzo Norsa and Angelo Zullo and Antonio Carroccio and Carlo Girelli and Salvatore Oliva and Claudio Romano and Gioacchino Leandro and Massimo Bellini and Riccardo Marmo and Marco Soncini and Fabio Monica and {De Francesco}, Vincenzo and Emma Paulon and Cappellini, {Maria Domenica} and Irene Motta and Francesca Ferretti and Stefania Orlando and Pasquale Mansueto and Elisabetta Buscarini and Guido Manfredi and Carlo Agostoni and Carolina Tomba and Renato Cannizzaro",
year = "2019",
month = "4",
day = "1",
doi = "10.1016/j.dld.2019.01.022",
language = "English",
volume = "51",
pages = "471--483",
journal = "Digestive and Liver Disease",
issn = "1590-8658",
publisher = "Elsevier B.V.",
number = "4",

}

TY - JOUR

T1 - Diagnosis of chronic anaemia in gastrointestinal disorders

T2 - A guideline by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) and the Italian Society of Paediatric Gastroenterology Hepatology and Nutrition (SIGENP)

AU - Elli, Luca

AU - Norsa, Lorenzo

AU - Zullo, Angelo

AU - Carroccio, Antonio

AU - Girelli, Carlo

AU - Oliva, Salvatore

AU - Romano, Claudio

AU - Leandro, Gioacchino

AU - Bellini, Massimo

AU - Marmo, Riccardo

AU - Soncini, Marco

AU - Monica, Fabio

AU - De Francesco, Vincenzo

AU - Paulon, Emma

AU - Cappellini, Maria Domenica

AU - Motta, Irene

AU - Ferretti, Francesca

AU - Orlando, Stefania

AU - Mansueto, Pasquale

AU - Buscarini, Elisabetta

AU - Manfredi, Guido

AU - Agostoni, Carlo

AU - Tomba, Carolina

AU - Cannizzaro, Renato

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Anaemia is a common pathologic condition, present in almost 5% of the adult population. Iron deficiency is the most common cause; other mechanisms can be involved, making anaemia a multi-factorial disorder in most cases. Anaemia being a frequent manifestation in the diseases of the gastrointestinal tract, patients are often referred to gastroenterologists. Furthermore, upper and lower endoscopy and enteroscopy are pivotal to the diagnostic roadmap of anaemia. In spite of its relevance in the daily clinical practice, there is a limited number of gastroenterological guidelines dedicated to the diagnosis of anaemia. For this reason, the Italian Association of Hospital Gastroenterologists and Endoscopists and the Italian Society of Paediatric Gastroenterology, Hepatology and Nutrition commissioned a panel of experts to prepare a specific guideline on anaemia and its diagnostic roadmap in the gastroenterological scenario. The panel also discussed about the potential involvement of gastroenterologists and endoscopists in the management of patients with anaemia, with particular attention to the correct use of investigations. The panel paid particular attention to practical issues with the aim to support gastroenterologists in their clinical practice when dealing with patients with anaemia.

AB - Anaemia is a common pathologic condition, present in almost 5% of the adult population. Iron deficiency is the most common cause; other mechanisms can be involved, making anaemia a multi-factorial disorder in most cases. Anaemia being a frequent manifestation in the diseases of the gastrointestinal tract, patients are often referred to gastroenterologists. Furthermore, upper and lower endoscopy and enteroscopy are pivotal to the diagnostic roadmap of anaemia. In spite of its relevance in the daily clinical practice, there is a limited number of gastroenterological guidelines dedicated to the diagnosis of anaemia. For this reason, the Italian Association of Hospital Gastroenterologists and Endoscopists and the Italian Society of Paediatric Gastroenterology, Hepatology and Nutrition commissioned a panel of experts to prepare a specific guideline on anaemia and its diagnostic roadmap in the gastroenterological scenario. The panel also discussed about the potential involvement of gastroenterologists and endoscopists in the management of patients with anaemia, with particular attention to the correct use of investigations. The panel paid particular attention to practical issues with the aim to support gastroenterologists in their clinical practice when dealing with patients with anaemia.

KW - Anaemia

KW - Celiac disease

KW - Endoscopy

KW - H. pylori

KW - Inflammatory bowel disease

KW - Iron deficiency

KW - Small bowel

UR - http://www.scopus.com/inward/record.url?scp=85062321754&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062321754&partnerID=8YFLogxK

U2 - 10.1016/j.dld.2019.01.022

DO - 10.1016/j.dld.2019.01.022

M3 - Review article

VL - 51

SP - 471

EP - 483

JO - Digestive and Liver Disease

JF - Digestive and Liver Disease

SN - 1590-8658

IS - 4

ER -