Celiac Disease (Gluten Enteropathy) (cont.)
Benjamin Wedro, MD, FACEP, FAAEM
Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
In this Article
- Celiac disease definition
- What causes celiac disease?
- What are the signs and symptoms of celiac disease?
- Are there other diseases or conditions associated with celiac disease?
- How is celiac disease diagnosed?
- What is latent celiac disease?
- What is silent celiac disease?
- What is the treatment for celiac disease?
- What is refractory celiac disease?
- What is the treatment for refractory celiac disease?
- What are the complications of celiac disease?
- What is a gluten-free diet?
- Celiac Disease Pictures Slideshow
- Celiac Disease Quiz
- Gluten-Free Diet Pictures Slideshow
- Celiac Disease (Celiac Sprue) FAQs
- Find a local Gastroenterologist in your town
What is latent celiac disease?
Latent or potential celiac disease describes those peopole suspected of having the disease with a positive antibody blood test, but whose small bowel biopsy is normal. Currently, there is no indication to begin treatment with a gluten free diet, however, repeat biopsy might be considered if signs and symptoms develop or if symptoms of malabsorption are present.
What is silent celiac disease?
Individuals may be screened for celiac disease and have both a positive antibody blood test and a positive small intestine biopsy, and yet have no symptoms. This is considered silent celiac disease and the recommendation is to perform further testing looking for malabsorption complications such as anemia and osteoporosis. A gluten free diet may be indicated if these tests are positive.
What is the treatment for celiac disease?
The only treatment for celiac disease and the inflammation of the small intestine caused by gluten protein exposure is a life-long gluten free diet.
What is refractory celiac disease?
While a gluten free diet tends to resolve symptoms in most individuals, in a small group of patients, the gluten free diet fails to control the symptoms including abdominal pain and malabsorption. These patients are considered refractory to diet treatment. It is important that other types of bowel disease, including Crohn's disease are first excluded before making this diagnosis.
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