Shannahan Sarah, Leffler Daniel A
Division of Internal Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Division of Gastroenterology, The Celiac Center, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
Gastrointest Endosc Clin N Am. 2017 Jan;27(1):79-92. doi: 10.1016/j.giec.2016.08.011.
Celiac disease is an autoimmune disorder induced by gluten in genetically susceptible individuals. It can result in intraintestinal and extraintestinal manifestations of disease including diarrhea, weight loss, anemia, osteoporosis, or lymphoma. Diagnosis of celiac disease is made through initial serologic testing and then confirmed by histopathologic examination of duodenal biopsies. Generally celiac disease is a benign disorder with a good prognosis in those who adhere to a gluten-free diet. However, in refractory disease, complications may develop that warrant additional testing with more advanced radiologic and endoscopic methods. This article reviews the current strategy to diagnose celiac disease and the newer modalities to assess for associated complications.
乳糜泻是一种由麸质诱发的自身免疫性疾病,发生于具有遗传易感性的个体。它可导致肠道内和肠道外的疾病表现,包括腹泻、体重减轻、贫血、骨质疏松或淋巴瘤。乳糜泻的诊断首先通过血清学检测,然后通过十二指肠活检的组织病理学检查来确诊。一般来说,乳糜泻是一种良性疾病,对于坚持无麸质饮食的患者预后良好。然而,在难治性疾病中,可能会出现并发症,这就需要用更先进的放射学和内镜检查方法进行进一步检测。本文综述了目前诊断乳糜泻的策略以及评估相关并发症的新方法。