Hemochromatosis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Surgery
Early diagnosis is important because the late effects of iron accumulation can be wholly prevented by periodic phlebotomies (by venesection) comparable in volume to blood donations.[1] Treatment is initiated when ferritin levels reach 300 micrograms per litre (or 200 in nonpregnant premenopausal women).[2]
Every bag of blood ml) contains 200-250 milligrams of iron. Phlebotomy (or bloodletting) is usually done at a weekly interval until ferritin levels are less than 20 nanograms per millilitre. After that, 1-4 donations per year are usually needed to maintain iron balance.
References
- ↑ Hemochromatosis - Treatment
- ↑ Hankins JS, McCarville MB, Loeffler RB, Smeltzer MP, Onciu M, Hoffer FA; et al. (2009). "R2* magnetic resonance imaging of the liver in patients with iron overload". Blood. 113 (20): 4853–5. doi:10.1182/blood-2008-12-191643. PMC 2686136. PMID 19264677.