Agarwal Ashish, Chauhan Ashish, Ahuja Vineet, Makharia Govind K
Department of Gastroenterology and Human Nutrition All India Institute of Medical Sciences New Delhi India.
JGH Open. 2020 Jul 11;4(5):795-799. doi: 10.1002/jgh3.12381. eCollection 2020 Oct.
Although once considered uncommon, there is increasing recognition of celiac disease (CeD) in Asia. It is now clear that CeD is a disorder as frequent in certain Asian countries as that in western countries, although it often remains undiagnosed. With increasing awareness and diagnosis, the absolute numbers of celiac patients are expected to increase markedly in Asia. Asia, with 60% of the population of the world, is probably the major "reservoir" of undiagnosed CeD in the world. As Asia has a huge landscape along with highly heterogenous genetic, social, cultural, and nutritional practices, similar heterogeneity is seen in the epidemiology, diagnostic, and therapeutic facilities for CeD in Asia. In this article, we have reviewed the changes in the epidemiology, diagnostics, and management of CeD in Asia and summarized the challenges and opportunities for its emergence in Asia.
尽管乳糜泻（CeD）曾被认为并不常见，但在亚洲，人们对它的认识正在不断提高。现在很清楚，在某些亚洲国家，CeD的发病率与西方国家一样高，尽管它常常仍未被诊断出来。随着认识的提高和诊断的增加，亚洲乳糜泻患者的绝对数量预计将显著增加。亚洲拥有世界60%的人口，可能是世界上未被诊断出的CeD的主要“储存库”。由于亚洲地域辽阔，遗传、社会、文化和营养习惯高度异质，在亚洲，CeD的流行病学、诊断和治疗设施也呈现出类似的异质性。在本文中，我们回顾了亚洲CeD在流行病学、诊断和管理方面的变化，并总结了其在亚洲出现所面临的挑战和机遇。
