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    Indications and use of the gluten contamination elimination diet for patients with non-responsive celiac disease

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    Author
    Leonard, M.M.
    Cureton, P.
    Fasano, A.
    Date
    2017
    Journal
    Nutrients
    Publisher
    MDPI AG
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.3390/nu9101129
    Abstract
    For the majority of patients diagnosed with celiac disease, once a gluten-free diet is initiated, symptoms improve within weeks and may completely resolve in months. However, up to 30% of patients may show signs, symptoms or persistent small intestinal damage after one year on a gluten-free diet. These patients require evaluation for other common GI etiologies and assessment of their celiac disease status in order to make a diagnosis and suggest treatment. Here, we propose an approach to evaluating patients with celiac disease with persistent symptoms, persistently elevated serology, and or persistent villous atrophy despite a gluten-free diet. We detail how to diagnose and distinguish between non-responsive and refractory celiac disease. Finally, we introduce the indications for use of the gluten contamination elimination diet and provide information for practitioners to implement the diet when necessary in their practice. Copyright 2017 by the authors.
    Keyword
    Celiac
    Celiac disease
    Gluten
    Gluten contamination elimination
    Gluten-free diet
    Non-responsive
    Refractory
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032872805&doi=10.3390%2fnu9101129&partnerID=40&md5=b17593b9d1d8077e71e9d8c0c575e756; http://hdl.handle.net/10713/11072
    ae974a485f413a2113503eed53cd6c53
    10.3390/nu9101129
    Scopus Count
    Collections
    UMB Open Access Articles 2017

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