Iron Status and Colorectal Cancer in Symptomatic Elderly Patients

American Journal of Medicine

Volumn 121, Issue 12, 2008, Pages 1072-1077

  Joosten, Etienne ^a   Meeuwissen, Joris ^a   Vandewinckele, Hannelore ^a   Hiele, Martin ^a  

^a UNIVERSITY HOSPITALS LEUVEN   (Belgium)

Author keywords

Colonoscopy; Colorectal carcinoma; Elderly; Hemoglobin; Iron deficiency anemia; Serum ferritin

Indexed keywords

FERRITIN; HEMOGLOBIN; IRON;

AGED; ANEMIA; ARTICLE; COLONOSCOPY; COLORECTAL CANCER; DISEASE ASSOCIATION; ELDERLY CARE; FEMALE; HEMATOCHEZIA; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; IRON BLOOD LEVEL; IRON DEFICIENCY ANEMIA; MAJOR CLINICAL STUDY; MALE; PREVALENCE; PRIORITY JOURNAL; SYMPTOMATOLOGY;

AGED; AGED, 80 AND OVER; AGING; ANEMIA, IRON-DEFICIENCY; COLORECTAL NEOPLASMS; HUMANS; ODDS RATIO; PREVALENCE; RETROSPECTIVE STUDIES; RISK FACTORS; SEX CHARACTERISTICS;

EID: 56349162566     PISSN: 00029343     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjmed.2008.06.039     Document Type: Article

References (22)

1. Sawhney M.S., Lipato T., Nelson D.B., et al. Should patients with anemia and low normal or normal serum ferritin undergo colonoscopy?. Am J Gastroenterol 102 (2007) 82-88
2. Wang S.A., Fadare O., Nagar A., et al. Gastrointestinal endoscopic findings in men with unexplained anemia and low normal ferritin values. Am J Hematol 81 (2006) 324-327
3. Joosten E., Hiele M., Ghoos Y., et al. Diagnosis of iron-deficiency anemia in a hospitalized geriatric population. Am J Med 90 (1991) 653-654
4. Joosten E., Ghesquiere B., Linthoudt H., et al. Upper and lower gastrointestinal evaluation of elderly inpatients who are iron deficient. Am J Med 107 (1999) 24-29
5. Lin O.S., Kozarek R.A., Schembre D.B., et al. Screening colonoscopy in very elderly patients. Prevalence of neoplasia and estimated impact on life expectancy. JAMA 295 (2006) 2357-2365
6. Stevens T., and Burke C.A. Colonoscopy screening in the elderly: when to stop?. Am J Gastroenterol 98 (2003) 1881-1885
7. Ioannou G.N., Rockey D.C., Bryson C.L., and Weiss N.S. Iron deficiency and gastrointestinal malignancy: a population-based cohort study. Am J Med 113 (2002) 276-280
8. Arora A., and Singh P. Colonoscopy in patients 80 years of age and older is safe, with high success rate and diagnostic yield. Gastrointest Endosc 60 (2004) 408-413
9. Strul H., Kariv R., Leshno M., et al. The prevalence rate and anatomic location of colorectal adenoma and cancer detected by colonoscopy in average-risk individuals aged 40-80 years. Am J Gastroenterol 101 (2006) 255-262
10. Syn W.K., Tandon U., and Ahmed M.M. Colonoscopy in the very elderly is safe and worthwhile. Age Ageing 34 (2005) 510-513
11. Cardin F., Barbato B., and Terranova O. Outcomes of safe, simple colonoscopy in older adults. Age Ageing 34 (2005) 513-515
12. Duncan J.E., Sweeney W.B., Trudel J.L., et al. Colonoscopy in the elderly: low risk, low yield in asymptomatic patients. Dis Colon Rectum 49 (2006) 646-651
13. Sardinha T.C., Noqueras J.J., Ehrenpreis E.D., et al. Colonoscopy in octogenarians: a review of 428 cases. Int J Colorectal Dis 14 (1999) 172-176
14. Imperiale T.F., Wagner D.R., Lin C.Y., et al. Risk of advanced proximal neoplasms in asymptomatic adults according to the distal colorectal findings. N Engl J Med 343 (2000) 169-174
15. Lieberman D.A., Weiss D.G., Bond J.H., et al. Use of colonoscopy to screen asymptomatic adults for colorectal cancer. N Engl J Med 343 (2000) 162-168
16. Stephens M.R., Hopper A.N., White S.R., et al. Colonoscopy first for iron deficiency anaemia: a numbers needed to investigate approach. Q J Med 99 (2006) 389-395
17. Lee J.G., Sahagun G., Oehlke M.A., and Lieberman D.A. Serious gastrointestinal pathology found in patients with serum ferritin values ≤50 ng/ml. Am J Gastroenterol 93 (1998) 772-776
18. James M.W., Chen C.M., Goddard W.P., et al. Risk factors for gastrointestinal malignancy in patients with iron deficiency anaemia. Eur J Gastroenterol Hepatol 17 (2005) 1197-1203
19. Scholefield J.H., Robinson M.H., Bostock K., and Brown N.S. Serum ferritin. Screening test for colorectal cancer?. Dis Colon Rectum 41 (1998) 1029-1031
20. Weiss G., and Goodnough L.T. Anemia of chronic disease. N Engl J Med 352 (2005) 1011-1023
21. Acher P.L., Al-Mishlab T., Rahman M., and Bates T. Iron-deficiency anaemia and delay in the diagnosis of colorectal cancer. Colorectal Dis 5 (2003) 145-148
22. Beale A.L., Penny M.D., and Allisson M.C. The prevalence of iron deficiency among patients presenting with colorectal cancer. Colorectal Dis 7 (2005) 398-402