QJM Advance Access originally published online on January 20, 2007
QJM 2007 100(2):144; doi:10.1093/qjmed/hcl144
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Response
Sir,We appreciate Dr Harvey's interest in our paper, and wholeheartedly agree that coeliac disease is an important cause of iron-deficiency anaemia; this diagnosis will have been considered and pursued where appropriate in the patients in our study. However, the purpose of our study was not to expound every presumed cause of iron-deficiency anaemia in our large series of patients. Such a report would not have added any new information to the existing literature on iron-deficiency anaemia. Rather, our purpose was to compare diagnostic yields for malignant disease from upper and lower gastrointestinal investigation among patients presenting with iron-deficiency anaemia and, more importantly, to compare patient outcomes following a diagnosis of upper or lower gastrointestinal malignancy as a cause for the anaemia.
Department of Surgery
Department of Gastroenterology
Royal Gwent Hospital
Newport
email: miles.allison{at}gwent.wales.nhs.uk
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