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 BuscariniGuido Manfredi, Carlo Agostoni, Carolina Tomba, Renato Cannizzaro

Research output: Contribution to journalReview article


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
Issue number4
Publication statusPublished - Apr 1 2019



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

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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