Hans Christian Andersen Children's Hospital, Odense University Hospital, Kløvervaenget 23C, Odense C, DK-5000, Denmark.
Hospital de Gastroenterología Dr. C. Bonorino Udaondo, Av. Caseros 2061, Buenos Aires 1236, Argentina.
Gastroenterol Clin North Am. 2019 Mar;48(1):127-136. doi: 10.1016/j.gtc.2018.09.009. Epub 2018 Dec 14.
Currently, the only effective treatment for celiac disease is complete removal of gluten from the diet. However, patients need to follow a strict gluten-free diet that results in symptomatic, serologic, and histologic remission in most patients. Histologic remission is usually complete in children, but recovery is slower and more frequently incomplete in adults. When remission has been achieved, yearly follow-up is recommended for adults, children, and adolescents. This article deals with conventional strategies used in order to follow-up patients on treatment and aiming to obtain the best clinical outcome.
目前，治疗乳糜泻的唯一有效方法是完全从饮食中去除麸质。然而，患者需要遵循严格的无麸质饮食，这会导致大多数患者出现症状、血清学和组织学缓解。在儿童中，组织学缓解通常是完全的，但在成人中，恢复较慢且更常不完全。当达到缓解时，建议成人、儿童和青少年每年进行随访。本文讨论了用于随访治疗患者并旨在获得最佳临床结果的常规策略。
