الفهرس | Only 14 pages are availabe for public view |
Abstract present study aimed to evaluate small intestinal lesions in patients with unexplained iron deficiency anemia with or without fecal occult blood by enteroscopy and to elucidate the pathologic nature of small intestinal mucosal abnormalities for iron deficiency anemia. Thirty patients with unexplained iron deficiency anemia (without any bleeding sources detected by upper and lower gastrointestinal endoscopy) were selected to perform the study. They were compared to ten non-anemic patients but suffering from GIT symptoms needed to be investigated by enteroscopy as a control group. All cases were subjected to: - Full history taking. - Complete clinical examination including gynecological screening in female patients to detect bleeding sources in gynecological organs. - Abdominal ultrasonography. - Laboratory investigations including: Complete blood count. Liver function tests. Blood urea and serum creatinine. Iron status (serum iron, serum ferritin, transferrin saturation & total iron binding capacity). Complete stool analysis including fecal occult blood test. - Upper and lower gastrointestinal endoscopy for evaluation of bleeding sources. - Enteroscopy with mucosal biopsy for histopathological examination |