{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T23:56:48Z","timestamp":1791849408152,"version":"4.3.4"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"946","license":[{"start":{"date-parts":[[2004,8,1]],"date-time":"2004-08-01T00:00:00Z","timestamp":1091318400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,8,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Background: Iron deficiency anaemia (IDA) is a recognised feature of coeliac disease in adults and can be its only presentation.<\/jats:p>\n               <jats:p>Objective: To determine the yield of routine distal duodenal biopsies in diagnosing coeliac disease in adult and elderly patients with IDA whose endoscopy revealed no upper gastrointestinal cause of iron deficiency.<\/jats:p>\n               <jats:p>Study design: Prospective study in a teaching hospital endoscopy unit.<\/jats:p>\n               <jats:p>Method: Altogether 504 consecutive patients with IDA, aged 16\u201380 years, attending for endoscopy were included in this study. At least two distal duodenal biopsies were taken if endoscopy revealed no cause of iron deficiency.<\/jats:p>\n               <jats:p>Result: In nine (1.8%) patients duodenal biopsies revealed typical histological features of coeliac disease. Of these, five patients were above 65 years old.<\/jats:p>\n               <jats:p>Conclusion: In adult and elderly patients undergoing endoscopy for IDA, the endoscopist should take distal duodenal biopsies to exclude coeliac disease if no upper gastrointestinal cause of anaemia is found. Coeliac disease is not an uncommon cause of IDA in patients &amp;gt;65 years of age and a history of chronic diarrhoea increases diagnostic yield in this age group.<\/jats:p>","DOI":"10.1136\/pgmj.2003.014670","type":"journal-article","created":{"date-parts":[[2004,8,6]],"date-time":"2004-08-06T16:22:56Z","timestamp":1091809376000},"page":"475-477","source":"Crossref","is-referenced-by-count":27,"title":["Value of routine duodenal biopsy in diagnosing coeliac disease in patients with iron deficiency anaemia"],"prefix":"10.1093","volume":"80","author":[{"given":"A K","family":"Mandal","sequence":"first","affiliation":[{"name":"Department of Integrated Medicine, Leicester General Hospital , Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Mehdi","sequence":"additional","affiliation":[{"name":"Department of Integrated Medicine, Leicester General Hospital , Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S K","family":"Munshi","sequence":"additional","affiliation":[{"name":"Department of Integrated Medicine, Leicester General Hospital , Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T C N","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Integrated Medicine, Leicester General Hospital , Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2004,8,5]]},"reference":[{"key":"2023050810455934400_R1","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1016\/S0140-6736(96)70237-4","article-title":"Coeliac disease","volume":"349","author":"Maki","year":"1997","journal-title":"Lancet"},{"key":"2023050810455934400_R2","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1093\/qjmed\/91.12.853","article-title":"Coeliac disease detected by screening is not silent\u2014simply unrecognised","volume":"91","author":"Johnston","year":"1998","journal-title":"Q J Med"},{"key":"2023050810455934400_R3","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1136\/gut.35.1.65","article-title":"Coeliac disease in the elderly","volume":"35","author":"Hankey","year":"1994","journal-title":"Gut"},{"key":"2023050810455934400_R4","doi-asserted-by":"crossref","first-page":"153","DOI":"10.3109\/00365529509093254","article-title":"Subclinical coeliac disease is a frequent cause of iron deficiency anaemia","volume":"30","author":"Corazza","year":"1995","journal-title":"Scand J Gastroenterol"},{"key":"2023050810455934400_R5","first-page":"90","article-title":"Anaemia: mono symptomatic coeliac disease. 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