A forgotten screening test for iron deficiency anemia: oral iron absorption test

Clin Ter. 2013;164(6):495-7. doi: 10.7417/CT.2013.1627.

Abstract

Objective: In this study, we aimed to investigate the iron absorption defects using the oral iron absorption test (OIAT) in patients with iron deficiency anemia (IDA).

Materials and methods: Forty-six patients with IDA which nonresponder to oral iron treatment were included in the study. OIAT was started at 8 a.m. after an overnight fast; 52.8 mg of elemental iron were given orally as 160 mg of iron sulfate. Iron levels of all participants were analyzed at baseline and at the 3rd hour of the study.

Results: Compared to baseline; serum iron levels whose serum iron levels exceed 91 mcg/ dl in 40(%87) patients. Further investigations in 6 patients revealed that 4 patients had chronic atrophic gastritis with helicobacter pylori infection; while the remaining 2 patients did not have any prominent.

Conclusions: This study demonstrated that OIAT is a good index for the evaluation of absorption defects and can be a screening clinical test of IDA.

MeSH terms

  • Administration, Oral
  • Adult
  • Anemia, Iron-Deficiency / diagnosis*
  • Anemia, Iron-Deficiency / drug therapy
  • Cohort Studies
  • Female
  • Ferrous Compounds / therapeutic use*
  • Gastritis, Atrophic / complications
  • Gastritis, Atrophic / diagnosis
  • Helicobacter Infections / complications
  • Helicobacter pylori / isolation & purification
  • Humans
  • Iron / therapeutic use*
  • Male
  • Middle Aged
  • Prospective Studies

Substances

  • Ferrous Compounds
  • ferrous sulfate
  • Iron