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Treatment of Helicobacter Pylori Associated Iron Deficiency Anemia: Does Iron Supplementation Make Difference

Received: 14 March 2016     Accepted: 21 March 2016     Published: 1 April 2016
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Abstract

Helicobacter pylori (H. pylori) infection is associated with high prevalence of iron deficiency anemia (IDA). Eradication of H. pylori is associated with improvement of IDA. The objective of this study was to assess the effect of H. pylori eradication with and without the use of iron supplementation on IDA among patients with H. pylori infection. It was a prospective therapeutic study on 36 patients tested positive 14C-urea breath test on screening for H. pylori infection, and had chronic mild to moderate IDA. Patients were divided randomly into two groups each of 18 patients. Groups A patients were given anti-H. pylori eradication therapy plus oral iron supplementation for 2 months. Group B patients were given the same anti-H. pylori therapy but without the iron supplement. Hemoglobin, serum iron and serum ferritin were assessed and compared between the two groups at baseline, 1 month, and 2 months of therapy. Results were expressed as mean ± SD. Paired t-test was used to compare quantitative values. P value significant if < 0.05. It has been found that both groups showed significant increase in mean levels of hemoglobin, serum iron and serum ferritin at 1, and 2 months after successful H. pylori eradication (p<0.001), However, the increase was more significant in Group A patients compared with group B patients (p<0.05). At the end of the study, both groups showed normal mean levels of all these parameters. This study concluded that eradication of H. pylori infection plus simultaneous iron supplementation was associated with a faster and greater recovery from IDA as compared with eradication without iron supplement. However, H. pylori eradication without iron supplementation was also associated with significantly increased iron absorption and recovery from IDA.

Published in European Journal of Preventive Medicine (Volume 4, Issue 2)
DOI 10.11648/j.ejpm.20160402.15
Page(s) 50-55
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Iron Deficiency Anemia, Helicobacter Pylori, Eradication, Iron Supplementation

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    Mokhtar Mahfouz Shatla. (2016). Treatment of Helicobacter Pylori Associated Iron Deficiency Anemia: Does Iron Supplementation Make Difference. European Journal of Preventive Medicine, 4(2), 50-55. https://doi.org/10.11648/j.ejpm.20160402.15

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    Mokhtar Mahfouz Shatla. Treatment of Helicobacter Pylori Associated Iron Deficiency Anemia: Does Iron Supplementation Make Difference. Eur. J. Prev. Med. 2016, 4(2), 50-55. doi: 10.11648/j.ejpm.20160402.15

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    AMA Style

    Mokhtar Mahfouz Shatla. Treatment of Helicobacter Pylori Associated Iron Deficiency Anemia: Does Iron Supplementation Make Difference. Eur J Prev Med. 2016;4(2):50-55. doi: 10.11648/j.ejpm.20160402.15

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  • @article{10.11648/j.ejpm.20160402.15,
      author = {Mokhtar Mahfouz Shatla},
      title = {Treatment of Helicobacter Pylori Associated Iron Deficiency Anemia: Does Iron Supplementation Make Difference},
      journal = {European Journal of Preventive Medicine},
      volume = {4},
      number = {2},
      pages = {50-55},
      doi = {10.11648/j.ejpm.20160402.15},
      url = {https://doi.org/10.11648/j.ejpm.20160402.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20160402.15},
      abstract = {Helicobacter pylori (H. pylori) infection is associated with high prevalence of iron deficiency anemia (IDA). Eradication of H. pylori is associated with improvement of IDA. The objective of this study was to assess the effect of H. pylori eradication with and without the use of iron supplementation on IDA among patients with H. pylori infection. It was a prospective therapeutic study on 36 patients tested positive 14C-urea breath test on screening for H. pylori infection, and had chronic mild to moderate IDA. Patients were divided randomly into two groups each of 18 patients. Groups A patients were given anti-H. pylori eradication therapy plus oral iron supplementation for 2 months. Group B patients were given the same anti-H. pylori therapy but without the iron supplement. Hemoglobin, serum iron and serum ferritin were assessed and compared between the two groups at baseline, 1 month, and 2 months of therapy. Results were expressed as mean ± SD. Paired t-test was used to compare quantitative values. P value significant if < 0.05. It has been found that both groups showed significant increase in mean levels of hemoglobin, serum iron and serum ferritin at 1, and 2 months after successful H. pylori eradication (p<0.001), However, the increase was more significant in Group A patients compared with group B patients (p<0.05). At the end of the study, both groups showed normal mean levels of all these parameters. This study concluded that eradication of H. pylori infection plus simultaneous iron supplementation was associated with a faster and greater recovery from IDA as compared with eradication without iron supplement. However, H. pylori eradication without iron supplementation was also associated with significantly increased iron absorption and recovery from IDA.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Treatment of Helicobacter Pylori Associated Iron Deficiency Anemia: Does Iron Supplementation Make Difference
    AU  - Mokhtar Mahfouz Shatla
    Y1  - 2016/04/01
    PY  - 2016
    N1  - https://doi.org/10.11648/j.ejpm.20160402.15
    DO  - 10.11648/j.ejpm.20160402.15
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 50
    EP  - 55
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20160402.15
    AB  - Helicobacter pylori (H. pylori) infection is associated with high prevalence of iron deficiency anemia (IDA). Eradication of H. pylori is associated with improvement of IDA. The objective of this study was to assess the effect of H. pylori eradication with and without the use of iron supplementation on IDA among patients with H. pylori infection. It was a prospective therapeutic study on 36 patients tested positive 14C-urea breath test on screening for H. pylori infection, and had chronic mild to moderate IDA. Patients were divided randomly into two groups each of 18 patients. Groups A patients were given anti-H. pylori eradication therapy plus oral iron supplementation for 2 months. Group B patients were given the same anti-H. pylori therapy but without the iron supplement. Hemoglobin, serum iron and serum ferritin were assessed and compared between the two groups at baseline, 1 month, and 2 months of therapy. Results were expressed as mean ± SD. Paired t-test was used to compare quantitative values. P value significant if < 0.05. It has been found that both groups showed significant increase in mean levels of hemoglobin, serum iron and serum ferritin at 1, and 2 months after successful H. pylori eradication (p<0.001), However, the increase was more significant in Group A patients compared with group B patients (p<0.05). At the end of the study, both groups showed normal mean levels of all these parameters. This study concluded that eradication of H. pylori infection plus simultaneous iron supplementation was associated with a faster and greater recovery from IDA as compared with eradication without iron supplement. However, H. pylori eradication without iron supplementation was also associated with significantly increased iron absorption and recovery from IDA.
    VL  - 4
    IS  - 2
    ER  - 

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Author Information
  • Department of Family Medicine, University of Menoufia, Menoufia, Egypt

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