Cha Ra Ri, Kim Hyun Jin
Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Korea.
Korean J Gastroenterol. 2020 Jan 25;75(1):11-16. doi: 10.4166/kjg.2020.75.1.11.
Non-celiac gluten sensitivity (NCGS) is a term that is used to describe individuals who are not affected by celiac disease or wheat allergy, yet they have intestinal and/or extra-intestinal symptoms related to gluten ingestion with improvement of their symptoms upon withdrawing gluten from their diet. Gluten-related disorder groups are manifested by symptoms of gastrointestinal tract disorders, as well as hematological dermatological endocrinological, gynecological, rheumatological and nervous system symptoms. It is believed that NCGS represents heterogeneous groups with different subgroups characterized by different etiologies, clinical histories and clinical courses. There also appears to be an overlap between NCGS and irritable bowel syndrome (IBS). There is a need for establishing strict criteria for diagnosing NCGS. The absence of validated biomarkers remains a significant limitation for research studies on NCGS. New evidence shows that a gluten-free diet may be beneficial for some patients with gastrointestinal symptoms, such as those symptoms commonly found in patients with IBS. Further studies about NCGS are needed.
非乳糜泻性麸质敏感(NCGS)是一个用于描述那些既不受乳糜泻影响也无小麦过敏,但摄入麸质后会出现肠道和/或肠道外症状,且在饮食中去除麸质后症状会改善的个体的术语。麸质相关疾病组表现为胃肠道疾病症状,以及血液学、皮肤病学、内分泌学、妇科、风湿病学和神经系统症状。人们认为,NCGS代表了具有不同亚组的异质性群体,这些亚组具有不同的病因、临床病史和临床病程。NCGS与肠易激综合征(IBS)之间似乎也存在重叠。需要建立严格的NCGS诊断标准。缺乏经过验证的生物标志物仍然是NCGS研究的一个重大限制。新证据表明,无麸质饮食可能对一些有胃肠道症状的患者有益,比如肠易激综合征患者常见的那些症状。需要对NCGS进行进一步研究。