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April 23, 2023World Journal of Clinical CasesOpen Access

Ferric carboxymaltose for anemia in Crohn’s disease patients at a tertiary center: A retrospective observational cohort study

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Authors

NSNatália Souza Nunes SiqueiraLPLívia Bitencourt PascoalBRBruno Lima Rodrigues

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Overview

Systematic review demonstrates the efficacy and safety of intravenous iron over oral supplements in active inflammatory bowel disease, indicating preferred routes depend on flare status.

Key Points

  • Synthesize evidence from prospective trials evaluating oral versus intravenous iron replacement strategies for iron-deficiency anemia across different stages of inflammatory bowel disease.
  • Conducted a systematic search of prospective trials published since 2004 across PubMed, EMBASE, the Cochrane Library, and regulatory databases (WHO, FDA, EMA).
  • Screened 632 identified articles and included 13 unique prospective publications encompassing 2,906 patients.
  • Oral iron therapy effectively replenished iron stores and restored hemoglobin levels primarily in quiescent disease stages, but faced limitations from poor tolerance and reduced intestinal absorption during inflammation.
  • Intravenous iron therapy demonstrated reliable efficacy during active disease flares without worsening inflammatory bowel disease activity and proved safe for concurrent administration with biologics.

Cite This Study

Siqueira et al. (2023) studied this question.

synapsesocial.com/papers/6aa920e023db11feac878239https://doi.org/10.12998/wjcc.v11.i12.2740
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1P0790Comparison of Oral and Intravenous Iron Therapy in Patients with Inflammatory Bowel Disease: Efficacy, Safety, Patient-Centered Outcomes, and Cost-Effectiveness2026
  2. 2Iron deficiency and anaemia in people with inflammatory bowel disease: do we have an ongoing issue of care quality? Crohn's Colitis Cure data insights programme2025 · 2 citations
  3. 3Anaemia in Patients with Inflammatory Bowel Disease - A Nationwide Cross-Sectional Study2016 · 21 citations
  4. 4Pathogenesis and therapy of anemia in patients with inflammatory bowel diseases2024
  5. 5P0689High-dose IV iron safely and effectively treats IBD-associated anaemia regardless of inflammatory activity – real-life evidence from Germany2026