Gastric Injury From Oral Iron Supplementation

Abstract

Leaming Objective 1: Recognize that iron pill gastritis is a known complication of oral supplementation but is not well recognized Leaming Objective 2: Recognize that the toxic effect of iron on gastrointestinal mucosa is caused by focal erosive mucosal injury similar to a chemical burn and may be avoided through use of alternate forms such as liquid iron or IV iron supplementation. Case: A 32-year-old Caucasian male with a past medical history of Barrett's esophagus and esophagitis presented with abdominal pain, hematemesis, and hematochezia. Inpatient EGD showed severe esophagitis without active bleeding and multiple small erosions in the fund us without evidence of blood and relatively normal pylorus. The patient remained hemodynamically stable and his celebrex was discontinued. The patient was started on oral iron supplementation for iron deficiency anemia at hospital discharge.

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Document Details

Document Type
Technical Report
Publication Date
Feb 22, 2018
Accession Number
AD1044463

Entities

People

  • Janelle Gyorffy

Organizations

  • 59th Medical Wing

Tags

DTIC Thesaurus Topics

  • Air Force
  • Anatomy
  • Biological Sciences
  • Chemical Burns
  • Deficiencies
  • Department Of Defense
  • Esophagus
  • Gastroenteritis
  • Gastrointestinal Tract
  • Health Services
  • Internal Medicine
  • Memory Devices
  • Metabolic Diseases
  • Mucous Membrane
  • Pain
  • Side Effects

Fields of Study

  • Medicine

Readers

  • Toxicology/Environmental Toxicology
  • Trauma Surgery or Emergency Medicine.
  • Women's Health and Cancer Risk Research: African American Women and Pregnancy Outcomes.