Ther Adv Psychopharmacol 5:38–42īryant BJ, Yau YY, Arceo SM et al (2013) Ascertainment of iron deficiency and depletion in blood donors through screening questions for pica and restless legs syndrome. Tabaac BJ, Tabaac V (2015) Pica patient, status post gastric bypass, improves with change in medication regimen. Moizé V, Moizé L, Lacy A et al (2010) Pica secondary to iron deficiency 1 year after gastric bypass. NIH conference (1991) Gastrointestinal surgery for severe obesity. Marinella MA (2008) Nocturnal pagophagia complicating gastric bypass. Kushner RF, Shanta Retelny V (2005) Emergence of pica (ingestion of non-food substances) accompanying iron deficiency anemia after gastric bypass surgery. Kushner RF, Gleason B, Shanta-Retelny V (2004) Reemergence of pica following gastric bypass surgery for obesity: a new presentation of an old problem. Goddard AF, James MW, McIntyre AS, British Society of Gastroenterology et al (2011) Guidelines for the management of iron deficiency anaemia. Krayenbuehl PA, Battegay E, Breymann C et al (2011) Intravenous iron for the treatment of fatigue in nonanemic, premenopausal women with low serum ferritin concentration. Obinwanne KM, Fredrickson KA, Mathiason MA et al (2014) Incidence, treatment, and outcomes of iron deficiency after laparoscopic Roux-en-y gastric bypass: a 10-year analysis. Surg Obes Relat Dis 11:1199–1200Īllied Health Sciences Section Ad Hoc Nutrition Committee, Aills L, Blankenship J et al (2008) ASMBS allied health nutritional guidelines for the surgical weight loss patient. Ponce J, Nguyen NT, Hutter M et al (2015) American Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in the United States, 2011–2014. BMC Blood Disord 10:9Īmerican Society for Metabolic and Bariatric Surgery. J Am Assoc Nurse Pract 28:116–120īarton JC, Barton JC, Bertoli LF (2010) Pica associated with iron deficiency or depletion: clinical and laboratory correlates in 262 non-pregnant adult outpatients. Rabel A, Leitman SF, Miller JL (2016) Ask about ice, then consider iron. Sontag C, Kettaneh A, Fain O et al (2001) Rapid regression of prolonged pagophagia after treatment of iron deficiency. Reynolds RD, Binder HJ, Miller MB et al (1968) Pagophagia and iron deficiency anemia. Kettaneh A, Eclache V, Fain O et al (2005) Pica and food craving in patients with iron-deficiency anemia: a case-control study in France. Int J Vitam Nutr Res 65:206–210īarton JC, Barton EH, Bertoli LF et al (2000) Intravenous iron dextran therapy in patients with iron deficiency and normal renal function who failed to respond to or did not tolerate oral iron supplementation. Am J Med 97:390–393Īl-Kanhal MA, Bani IA (1995) Food habits during pregnancy among Saudi women. Moore DF Jr, Sears DA (1994) Pica, iron deficiency, and the medical history.
Parry-Jones B (1992) Pagophagia, or compulsive ice consumption: a historical perspective.
#PICA IRON DEFICIENCY SOUR MANUAL#
Patients with unusual cravings should be evaluated for iron deficiency.Īmerican Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5 ®).
Patients considering bariatric surgery should be counseled on pica. In our experience, intravenous iron can relieve symptoms. Pica is a rare phenomenon associated with iron deficiency and can occur despite oral iron supplementation. All 16 patients received intravenous iron and pica symptoms resolved. Iron deficiency was identified in all 16 patients, with a median ferritin level of 5.0 ng/mL (range 2–27). Pica symptoms presented at a mean of 3.9 ± 1.9 years after RYGB. All patients with pica were female and had multiple risk factors for iron deficiency with 13/16 being premenopausal and 7/16 non-compliant with oral iron supplementation. The most common presenting sign was pagophagia. Pica was identified in 16/959 (1.7%) patients who underwent RYGB during the study period. Patients with pica or other abnormal cravings were identified. The medical records of patients who underwent laparoscopic RYGB from 2001 to 2011 were reviewed. To our knowledge, the rate of pica after RYGB has never been reported. Pica, the compulsive craving and intake of non-nutritive substances, is a rare and poorly understood presentation of iron deficiency. Iron deficiency can occur in patients after Roux-en-y gastric bypass due to altered absorption.
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