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Nutrients. 2018 Mar 9;10(3). pii: E330. doi: 10.3390/nu10030330.

Sucrosomial Iron Supplementation in Anemic Patients with Celiac Disease Not Tolerating Oral Ferrous Sulfate: A Prospective Study.

Author information

1
Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. luca.elli@policlinico.mi.it.
2
Department of Pathophysiology and Transplantation, University of Milano, 20100 Milan, Italy. francesca.ferretti@unimi.it.
3
Department of Pathophysiology and Transplantation, University of Milano, 20100 Milan, Italy. federica.branchi@unimi.it.
4
Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. tomba.carolina@gmail.com.
5
Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. vincenza.lombardo@policlinico.mi.it.
6
Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. alice.scricciolo@policlinico.mi.it.
7
Department of Biomedical, Surgical and Dental Sciences, University of Milano, 20100 Milan, Italy. luisa.doneda@unimi.it.
8
Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. leda.roncoroni@tiscali.it.
9
Department of Pathophysiology and Transplantation, University of Milano, 20100 Milan, Italy. leda.roncoroni@tiscali.it.
10
Department of Biomedical, Surgical and Dental Sciences, University of Milano, 20100 Milan, Italy. leda.roncoroni@tiscali.it.

Abstract

Patients with celiac disease (CD) frequently suffer from iron deficiency anemia (IDA) and may benefit from iron supplementation. However, intolerance to iron sulfate and duodenal atrophy could reduce the efficacy of this supplementation. This study evaluated the efficacy of a new sucrosomial iron formulation in patients with CD. Consecutive patients with CD and IDA were divided into two groups: patients with a known intolerance to iron sulfate were treated with sucrosomial iron (30 mg of iron/day), while those receiving iron supplementation for the first time were assigned to iron sulfate (105 mg of iron/day). Forty-three patients were enrolled (38 females, mean age 49 ± 9 years). After a follow-up of 90 days both groups showed an increase in Hb levels compared to baseline (+10.1% and +16.2% for sucrosomial and sulfate groups, respectively), and a significant improvement in all iron parameters, with no statistical difference between the two groups. Patients treated with sucrosomial iron reported a lower severity of abdominal symptoms, such as abdominal and epigastric pain, abdominal bloating, and constipation, and a higher increase in general well-being (+33% vs. +21%) compared to the iron sulfate group. Sucrosomial iron can be effective in providing iron supplementation in difficult-to-treat populations, such as patients with CD, IDA, and known intolerance to iron sulfate.

KEYWORDS:

celiac disease; iron deficiency anemia; iron sulfate; sucrosomial iron

PMID:
29522446
PMCID:
PMC5872748
DOI:
10.3390/nu10030330
[Indexed for MEDLINE]
Free PMC Article

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