Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology
نویسندگان
چکیده
A multidisciplinary panel of 18 physicians and 3 non-physicians from eight countries (Sweden, UK, Argentina, Australia, Italy, Finland, Norway and the USA) reviewed 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; genetics and immunology; diagnostics; serology and endoscopy; follow-up; gluten-free diet; refractory CD and malignancies; quality of life; novel treatments; patient support; and screening for CD.
منابع مشابه
Altered microbiota in microscopic colitis
REFERENCES 1 Ludvigsson JF, Bai JC, Biagi F, et al. BSG Coeliac Disease Guidelines Development Group; British Society of Gastroenterology. Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology. Gut 2014;63:1210–28. 2 Fitzgerald RC, di Pietro M, Ragunath K, et al., British Society of Gastroenterology. British Society of Gastroenterology guidel...
متن کاملEntering the GOLDEN Age for Therapies in NASH.
the British Society of Gastroenterology. Gut 2014; 63:1210–1228. 5. Marsh MN. Gluten, major histocompatibility complex, and the small intestine. A molecular and immunobiologic approach to the spectrum of gluten sensitivity (‘celiac sprue’). Gastroenterology 1992;102: 330–354. 6. Taavela J, Popp A, Korponay-Szabo IR, et al. A Prospective Study on the Usefulness of Duodenal Bulb Biopsies in Celia...
متن کاملManagement of coeliac disease: a changing diagnostic approach but what value in follow up?
OBJECTIVE To assess the management of patients with coeliac disease in relation to a change in diagnostic method from jejunal suction biopsy to endoscopic biopsy. DESIGN 16 item questionnaire survey of consultant members of the British Society of Gastroenterology. SUBJECTS 359 consultant physician and gastroenterologist members of the society. MAIN MEASURES Type of routine biopsy; repeat ...
متن کاملJoint BSPGHAN and Coeliac UK guidelines for the diagnosis and management of coeliac disease in children.
The revised BSPGHAN guidelines for the diagnosis and management of coeliac disease represent an important shift in diagnostic strategy, aimed at simplifying and shortening the diagnostic process in selected cases. Guidance is given concerning the indications for testing for coeliac disease, which is still significantly underdiagnosed in the UK. While screening data suggest a likely incidence of...
متن کاملDuodenal biopsies for the diagnosis of coeliac disease: are we adhering to current guidance?
BACKGROUND The British Society of Gastroenterology guidelines recommend taking at least four duodenal biopsy specimens at the time of upper gastrointestinal (UGI) endoscopy if coeliac disease (CD) is suspected and it has been shown to increase the diagnostic yield of CD. We assessed the compliance to these guidelines within our institution. We then applied measures to improve our compliance rat...
متن کامل