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The Gastroenterology Training Handbook
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MISCELLANEOUS
•Bleeding
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home -
Miscellaneous -
Bleeding -
Anaemia
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Written by Dr Sebastian Zeki
MCQs for this page
Anaemia
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FE++ FE++ +
DMT-1 H+
HPE
Causes
Anything that decreases acid
Atrophic gastritis/PPI/gastrectomy/coeliac/tropical
sprue/
bleed
Investigation
Increased transferrin
Decreased ferritin and iron
OGD + colon + small bowel biopsy
Treatment - supplementation + treat underlying cause
B12 deficiency anaemia
B12 - protein
H +
B12 - R IF
B12 - IF
Causes
Stomach
Pernicious anaemia
Atrophic gastritis
Small intestine
Any pathology
Investigations
-If not vegetarian IF and parietal cell antibodies
Iron deficiency anaemia
A
N
A
E
M
I
A
+
B12 absorbed here
Pancreatic enzymes
Folate deficiency anaemia
This ca n be caused by any small bowel pathology.
NB
. Liver disease anaemia. - Decreased
FE/decreased transferrin/increased ferritin
B12 and folate increase to due passaic necrosis
Written by Dr Sebastian Zeki
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