Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden Department of Paediatrics, Örebro University Hospital, Örebro, Sweden.
Department of Medicine, Dr C. Bonorino Udaondo Gastroenterology Hospital, Del Salvador University, Buenos Aires, Argentina.
Gut. 2014 Aug;63(8):1210-28. doi: 10.1136/gutjnl-2013-306578. Epub 2014 Jun 10.
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.
一个由来自瑞典、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，对成人乳糜泻（CD）的诊断和管理的文献进行了回顾。本文提出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。九个工作组检查了以下领域的 CD 诊断和管理：CD 的分类；遗传学和免疫学；诊断；血清学和内镜检查；随访；无麸质饮食；难治性 CD 和恶性肿瘤；生活质量；新疗法；患者支持；以及 CD 的筛查。
