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Z Gastroenterol 2011; 49(5): 627-632
DOI: 10.1055/s-0031-1273324
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© Georg Thieme Verlag KG Stuttgart · New York

Diagnose und Behandlung von Eisenmangel und Anämie bei chronisch entzündlichen Darmerkrankungen. Konsensus der österreichischen Arbeitsgruppe für CED

Diagnosis and Treatment of Iron Deficiency and Anaemia in Inflammatory Bowel Diseases. Consensus of the Austrian IBD Working PartyC. Gasche1 , 2 , R. Evstatiev1 , T. Haas3 , A. Kaser4 , P. Knoflach5 , W. Petritsch6 , G. Weiss7 , W. Reinisch1
  • 1Medizinische Universität Wien, Klinik Innere Medizin 3, Abteilung Gastroenterologie und Hepatologie
  • 2Medizinische Universität Wien, Christian Doppler Labor für Molekulare Carzinom Chemoprävention
  • 3Paracelsus Medizinische Privatuniversität Salzburg, Klinik für Innere Medizin 1, SALK
  • 4Medizinische Universitätsklinik Innsbruck, Univ.-Klinik f. Innere Medizin II
  • 5Klinikum Wels, Abt. Innere Medizin I
  • 6Medizinische Universität Graz, Universitätsklinik für Innere Medizin, Klin. Abt. für Gastroenterologie und Hepatologie
  • 7Medizinische Universität Innsbruck, Department für Innere Medizin, Klinische Infektiologie und Immunologie
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Publikationsverlauf

Manuskript eingetroffen: 2.12.2010

Manuskript akzeptiert: 15.3.2011

Publikationsdatum:
27. April 2011 (online)

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Zusammenfassung

Eisenmangel mit und ohne Anämie ist ein häufiges Problem bei Patienten mit chronisch entzündlichen Darmerkrankungen (CED) und kann mit einer erheblichen Einschränkung der Lebensqualität und Leistungsfähigkeit verbunden sein. Die Arbeitsgruppe für CED der Österreichischen Gesellschaft für Gatroenterologie und Hepatologie (ÖGGH) erarbeitete 5 Konsensus-Statements zu folgenden Inhalten: Diagnose von Eisenmangel und Anämie, Screening auf Eisenmangel, Behandlung von Eisenmangel und Behandlungsziele. Die klinische Bedeutung der intravenösen Eisensubstitution bei CED in Bezug auf Effektivität und Compliance wurde diskutiert.

Abstract

Iron deficiency with and without anAemia is a common burden of patients with inflammatory bowel diseases (IBD) and has considerable impact on their quality of life and the ability to perform. The IBD working group of the Austrian Society of Gastroenterology and Hepatology developed five consensus statements on the following topics: (i) diagnosis of iron deficiency and (ii) anaemia, (iii) screening of iron deficiency, (iv) treatment of iron deficiency and (v) therapeutic goals. The clinical importance of intravenous iron replacement therapy in IBD with regard to effectiveness and compliance was discussed.

Schlüsselwörter

Colitis ulcerosa - extraintestinale Manifestation - Morbus Crohn - chronisch entzündliche Darmerkrankung - Eisenmangel

Key words

ulcerative colitis - extraintestinal manifestations - Crohn’s disease - inflammatory bowel disease - Iron deficiency

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Dr. Christoph Gasche

KIM3, Abt. für Gastroenterologie und Hepatologie

Währinger Gürtel 18 – 20

1090 Wien

Österreich

eMail: christoph.gasche@meduniwien.ac.at