[Iron deficiency anemia in patients with hiatal hernias].

UNLABELLED: Hiatal hernia may be accompanied by chronic bleeding from erosions and subsequent iron deficiency anemia. This anemia is drug-resistant in 5-10% of patients with hiatal hernia. In this case, the only approach is antireflux surgery for hiatal hernia repair.

MATERIAL AND

METHODS

A prospective examination of 42 patients with hiatal hernia and concomitant iron deficiency anemia was conducted between 2023 and 2024. To identify latent iron deficiency anemia, patients underwent in-depth laboratory tests. All patients underwent original fundoplication. The results were assessed in 6 and 12 months after surgery.

RESULTS

Favorable functional results with disappearance of reflux esophagitis symptoms were obtained in 39 patients (92.8%). The follow-up laboratory tests after 6 months revealed higher hemoglobin and normal serum iron in 35 (94.5%) out of 37 available patients. Patients did not take iron supplements during the second half of the year, but hemoglobin and serum iron were normal.

CONCLUSION

Original fundoplication demonstrates high efficiency in patients with hiatal hernia and concomitant chronic iron deficiency anemia.