title: [Intravenous iron in general surgery].
abstract: Preoperative anemia is the main cause of blood transfusion in surgical patients. In digestive surgery high blood loss and allogenic blood transfusion (ABT) are associated with serious adverse events and higher mortality. Consequently, we believe that intravenous iron administration is justified to correct perioperative anemia. We present the case of a woman with metastatic colorectal adenocarcinoma in whom intravenous iron administration avoided the use of ABT. Subsequently, the iron metabolism profile improved. This had previously corresponded to a mixed pattern of iron deficiency, that is, to the association of organic and functional iron deficiency.
authors.affiliation: Servicio de Cirugía, Hospital Universitario Miguel Servet, Zaragoza, Spain. almacey@terra.es
authors.forename: Alejandro
authors.initials: A
authors.lastname: Serrablo
authors.forename: Elena
authors.initials: E
authors.lastname: Urbieta
authors.forename: Josefa
authors.initials: J
authors.lastname: Carcelén-Andrés
authors.forename: Jaime
authors.initials: J
authors.lastname: Ruiz
authors.forename: Javier
authors.initials: J
authors.lastname: Rodrigo
authors.forename: Mónica
authors.initials: M
authors.lastname: Izuel
authors.forename: José
authors.initials: J
authors.lastname: García-Erce
mesh_terms: D000368:Aged; D018798:Anemia, Iron-Deficiency / Q000150:complications / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007501:Iron / Q000008:administration & dosage*; D011300:Preoperative Care; D013514:Surgical Procedures, Operative
chemical_list: D007501:Iron