Iron deficiency anemia as a presentation of pouchitis

Pastrana, Rafael; Torres, Esther A.; Rivera, Cynthia; Arroyo, J; Vázquez, Maria del Carmen García

doi:10.1016/s0002-9270(03)01508-9

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“…Selenmangel bei jeweils 20-30 % der Patienten. Demgegenüber ist das Auftreten eines Vitamin-B12-Mangels nur nach Anlage eines IAP beschrieben [712][713][714][715][716]. Die Ätiologie des Vitamin-B12-Mangels bei IAP ist multifaktoriell; diskutiert werden eine verminderte Resorptionsleistung sowie die fast regelhaft auftretende bakterielle Fehlbesiedlung [717].…”

Section: Hintergrundunclassified

Aktualisierte S3-Leitlinie Colitis ulcerosa

et al. 2019

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Section: Hintergrundunclassified

Aktualisierte S3-Leitlinie Colitis ulcerosa

et al. 2019

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“…Iron and calcium deficiencies in patients with pouch and pouchitis are quite common. However, there is no comprehensive data describing the status of other elements (M'Koma et al, 1994;Kuisma et al, 2001;Pastrana et al, 2007). In the only published study, copper and selenium concentrations in patients with pouch did not differ significantly from those in healthy subjects (El Muhtaseb et al, 2007).…”

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confidence: 93%

Trace elements and rat pouchitis.

Drzymała-Czyż

Banasiewicz²,

Walas³

et al. 2012

Acta Biochim Pol

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The procedure of restorative proctocolectomy is associated with a complete removal of the colon and slight reduction of ileum length, which together can lead to systemic shortages of trace elements. Inflammatory changes in the pouch mucosa may also have some impact. However, there is no data on trace elements in pouchitis. Therefore, in the present study we aimed to assess the effect of acute pouchitis on the status of selected trace elements in rats. Restorative proctocolectomy with the construction of intestinal J-pouch was performed in twenty-four Wistar rats. Three weeks after the surgery, pouchitis was induced. Eight untreated rats created the control group. Liver concentrations of selected micronutrients (Zn, Cu, Co, Mn, Se) were measured in both groups six weeks later, using inductively coupled plasma mass spectrometry. Liver concentrations of trace elements did not differ between the study and the control groups. However, copper, cobalt and selenium concentrations [μg/g] were statistically lower (p<0.02, p<0.05 and p<0.04, respectively) in rats with severe pouchitis (n=9) as compared with rats with mild pouchitis (n=7) [median (range): Cu -7.05 (3.02-14.57) vs 10.47 (5.16-14.97); Co -0.55 (0.37-0.96) vs 0.61 (0.52-0.86); Se -1. 17 (0.69-1.54) vs 1.18 (0.29-1.91)]. In conclusion, it seems that acute pouchitis can lead to a significant deficiency of trace elements.

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Iron deficiency anemia as a presentation of pouchitis

Cited by 2 publications

References 0 publications

Aktualisierte S3-Leitlinie Colitis ulcerosa

Aktualisierte S3-Leitlinie Colitis ulcerosa

Trace elements and rat pouchitis.

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