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14 lut 2023 · Celiac disease is a small bowel disorder characterized by mucosal inflammation, villous atrophy, and crypt hyperplasia, which occur upon exposure to dietary gluten and demonstrate improvement after withdrawal of gluten from the diet.
- Patient education: Celiac disease in adults (Beyond the Basics)
Diagnosis of celiac disease in adults. Management of celiac...
- Patient education: Celiac disease in adults (Beyond the Basics)
For most people with celiac disease, eating a gluten-free diet allows the small intestine to heal. For children, that usually takes 3 to 6 months. For adults, complete healing might take several years.
Serologic testing for celiac disease is recommended in adults with any of the following: Suggestive gastrointestinal symptoms — Gastrointestinal symptoms include chronic or recurrent diarrhea or constipation, malabsorption, unexpected weight loss, abdominal pain, distension, or bloating.
In adults, all guidelines, including the American College of Gastroenterology guidelines, 21 recommend screening with celiac antibody testing and, if positive, performing a biopsy in populations with a low prevalence (<5%) of CD.
well as for differential diagnosis. Best Practice Advice 2a: TG2-IgA, at high levels (> 10 upper normal limit) is a reliable and accurate test for diagnosing active CD. When such a strongly positive TG2-IgA is combined with a positive endomysial anti-body in a second blood sample, the positive predictive value for CD is virtually 100%.
5 sty 2024 · Diagnosis of celiac disease in adults. Management of celiac disease in adults. Epidemiology, pathogenesis, and clinical manifestations of celiac disease in adults. Resources — The following resources also provide reliable information and/or support for people living with celiac disease or non-celiac gluten sensitivity.
the literature on diagnosis and management of adult coeliac disease (CD). This paper presents the recommendations of the British Society of Gastroenterology. Areas of controversies were explored through phone meetings and web surveys. Nine working groups examined the following areas of CD diagnosis and management: classification of CD ...
