{"id":8899,"date":"2020-09-16T17:43:42","date_gmt":"2020-09-16T15:43:42","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=8899"},"modified":"2020-09-16T17:43:43","modified_gmt":"2020-09-16T15:43:43","slug":"american-gastroenterological-association-issues-guidelines-on-gi-evaluation-of-iron-deficiency-anemia","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/american-gastroenterological-association-issues-guidelines-on-gi-evaluation-of-iron-deficiency-anemia\/","title":{"rendered":"American Gastroenterological Association Issues Guidelines on GI Evaluation of Iron Deficiency Anemia"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The American Gastroenterological Association (AGA) has issued the following recommendations regarding GI evaluation of iron deficiency anemia (IDA):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>In patients with anemia, IDA should be defined as a ferritin level &lt;45 ng\/mL. This has a sensitivity for iron deficiency of 85%, with a specificity of 92%. The commonly used cutoff of &lt;15 ng\/mL has a sensitivity of only 59% and a specificity of 99%.<\/li><li>Ferritin levels may not reflect body iron stores in patients with chronic inflammatory conditions or chronic kidney disease, who may need additional tests, such as serum iron, transferrin saturation, or C-reactive protein.<\/li><li>Same-day bidirectional endoscopy is recommended for asymptomatic postmenopausal women and men with IDA.<\/li><li>In premenopausal women with IDA, bidirectional endoscopy is also recommended, though the strength of the recommendation is conditional.<\/li><li>In patients with IDA, the AGA recommends against the use of routine gastric biopsies for&nbsp;<em>Helicobacter pylori&nbsp;<\/em>during bidirectional endoscopy and instead favors noninvasive testing after negative bidirectional endoscopy, followed by treatment for patients who test positive.<\/li><li>In asymptomatic adults with IDA and plausible celiac disease, the AGA suggests initial serologic testing for celiac disease, followed by small-bowel biopsies only if positive, over routine small-bowel biopsies.<\/li><li>If bidirectional endoscopy is negative, a trial of iron supplementation is recommended over video capsule endoscopy (VCE).<\/li><li>VCE should be considered in patients with negative bidirectional endoscopy who do not respond to iron, have ongoing symptoms, or experience acute bleeding requiring hospitalization or transfusion.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The American Gastroenterological Association (AGA) has issued the following recommendations regarding GI evaluation of iron deficiency anemia (IDA): In patients with anemia, IDA should be defined as a ferritin level &lt;45 ng\/mL. This has a sensitivity for iron deficiency of 85%, with a specificity of 92%. The commonly used cutoff of &lt;15 ng\/mL has a &#8230; <a title=\"American Gastroenterological Association Issues Guidelines on GI Evaluation of Iron Deficiency Anemia\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/american-gastroenterological-association-issues-guidelines-on-gi-evaluation-of-iron-deficiency-anemia\/\" aria-label=\"Read more about American Gastroenterological Association Issues Guidelines on GI Evaluation of Iron Deficiency Anemia\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2058,2125,2126],"class_list":["post-8899","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-colon-2","tag-gi-evaluation","tag-ida"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/8899","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=8899"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=8899"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=8899"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}