American College of Gastroenterology guideline for evaluating and managing patients with celiac disease

Clinical Question

According to the American College of Gastroenterology, what is the best approach to evaluating and managing patients with celiac disease?

Bottom line

Although the American College of Gastroenterology recommends biopsies to diagnose celiac disease, it also states the combination of high titers of tissue transglutaminase and a positive endomysial antibody test are reliable alternatives. To achieve remission, a gluten-free diet (including gluten-free oats because of the prevalence of gluten contamination) remains the treatment of choice. 5

Study design: Practice guideline

Funding: Self-funded or unfunded

Setting: Various (guideline)

Reviewer

Henry C. Barry, MD, MS
Professor
Michigan State University
East Lansing, MI


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Comments

Anonymous

Celiacs

This confirms my practice

Arup Kumar Dhara

Impact assessment

Very good

Anonymous

no

no

Anonymous

Diagnosis of Celiac Disease

Biopsy not always needed

Anonymous

poursuivre la diète sans…

poursuivre la diète sans gluten

Anonymous

celiac disease

management tips