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Enteroscopy and radiology for the management of celiac disease complications: Time for a pragmatic roadmap.
Dig Liver Dis 2016; 48(6):578-86DL

Abstract

Celiac disease is the most common autoimmune enteropathy in Western countries, and is usually associated with a good response to the gluten free diet and an excellent prognosis. However, a minority of patients develop complications of the disease, such as refractory celiac disease, ulcerative jejunoileitis and neoplastic complications such as adenocarcinoma of the small bowel and enteropathy associated T cell lymphoma. Neoplastic complications described in association with celiac disease have a high mortality rate, due to their aggressive behavior and to the usual advanced stage at the time of diagnosis. In recent years, the detection of small bowel lesions has dramatically improved thank to the availability of highly performing radiologic and endoscopic techniques. The diagnostic delay of malignant complications in patients with celiac disease may be improved by establishing a pragmatic flowchart for the identification and follow up of "at risk" patients. We performed a comprehensive review of the articles published on this issue in order to promote a roadmap to be applied when facing with celiac patients with suspected small bowel complications.

Authors+Show Affiliations

Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico, Milan, Italy.Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.Center for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy. Electronic address: lucelli@yahoo.com.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27012449

Citation

Branchi, Federica, et al. "Enteroscopy and Radiology for the Management of Celiac Disease Complications: Time for a Pragmatic Roadmap." Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, vol. 48, no. 6, 2016, pp. 578-86.
Branchi F, Locatelli M, Tomba C, et al. Enteroscopy and radiology for the management of celiac disease complications: Time for a pragmatic roadmap. Dig Liver Dis. 2016;48(6):578-86.
Branchi, F., Locatelli, M., Tomba, C., Conte, D., Ferretti, F., & Elli, L. (2016). Enteroscopy and radiology for the management of celiac disease complications: Time for a pragmatic roadmap. Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 48(6), pp. 578-86. doi:10.1016/j.dld.2016.02.015.
Branchi F, et al. Enteroscopy and Radiology for the Management of Celiac Disease Complications: Time for a Pragmatic Roadmap. Dig Liver Dis. 2016;48(6):578-86. PubMed PMID: 27012449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Enteroscopy and radiology for the management of celiac disease complications: Time for a pragmatic roadmap. AU - Branchi,Federica, AU - Locatelli,Martina, AU - Tomba,Carolina, AU - Conte,Dario, AU - Ferretti,Francesca, AU - Elli,Luca, Y1 - 2016/03/02/ PY - 2015/10/31/received PY - 2016/02/08/revised PY - 2016/02/15/accepted PY - 2016/3/26/entrez PY - 2016/3/26/pubmed PY - 2017/6/15/medline KW - Celiac disease KW - Enteropathy associated T cell lymphoma KW - Refractory celiac disease KW - Small bowel adenocarcinoma SP - 578 EP - 86 JF - Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver JO - Dig Liver Dis VL - 48 IS - 6 N2 - Celiac disease is the most common autoimmune enteropathy in Western countries, and is usually associated with a good response to the gluten free diet and an excellent prognosis. However, a minority of patients develop complications of the disease, such as refractory celiac disease, ulcerative jejunoileitis and neoplastic complications such as adenocarcinoma of the small bowel and enteropathy associated T cell lymphoma. Neoplastic complications described in association with celiac disease have a high mortality rate, due to their aggressive behavior and to the usual advanced stage at the time of diagnosis. In recent years, the detection of small bowel lesions has dramatically improved thank to the availability of highly performing radiologic and endoscopic techniques. The diagnostic delay of malignant complications in patients with celiac disease may be improved by establishing a pragmatic flowchart for the identification and follow up of "at risk" patients. We performed a comprehensive review of the articles published on this issue in order to promote a roadmap to be applied when facing with celiac patients with suspected small bowel complications. SN - 1878-3562 UR - https://www.unboundmedicine.com/medline/citation/27012449/Enteroscopy_and_radiology_for_the_management_of_celiac_disease_complications:_Time_for_a_pragmatic_roadmap_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1590-8658(15)30321-2 DB - PRIME DP - Unbound Medicine ER -