Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology

Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology
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DOI:
10.1136/gutjnl-2013-306578
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发表时间:
2014-08-01
期刊:
GUT
影响因子:
24.5
通讯作者:
Sanders, David S.
Sanders, David S.
中科院分区:
医学1区
文献类型:
--
作者:
Ludvigsson, Jonas F.;Bai, Julio C.;Sanders, David S.

文献摘要

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来自8个国家(瑞典、英国、阿根廷、澳大利亚、意大利、芬兰、挪威和美国)的18名医生和3名非医生组成的多学科小组审查了关于成人乳糜泻(CD)诊断和管理的文献。本文介绍了英国胃肠病学会的建议。通过电话会议和网络调查探讨了有争议的领域。9个工作组审查了CD诊断和管理的以下领域:CD分类;遗传学和免疫学;诊断学;血清学和内窥镜检查;随访;无麸质饮食;难治性CD和恶性肿瘤;生活质量;新型治疗;患者支持;以及CD筛查。
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.