Capili Bernadette, Chang Michelle, Anastasi Joyce K
Division of Special Studies in Symptom Management in the College of Nursing at New York University in New York. Bernadette Capili, PhD, NP-C, is an associate director of the division and an assistant professor of nursing. Michelle Chang, MS, is a research associate at the division. Joyce K. Anastasi, PhD, DrNP, FAAN, is the director of the division, an Independence Foundation endowed professor, and director of the Herbs, Nutraceuticals and Supplements Program.
J Nurse Pract. 2014 Oct;10(9):666-673. doi: 10.1016/j.nurpra.2014.07.036. Epub 2014 Oct 14.
Gluten-free diets are increasing in popularity among consumers and fueling a global market of gluten-free products. A gluten-free diet is the only treatment for celiac disease (CD). However, many patients are self-reporting and suspecting "gluten sensitivity" after gastrointestinal symptoms, such as bloating, abdominal pain, or diarrhea, resolve on a gluten-free diet without formal evaluation testing for food allergies or CD. The terms related to gluten and/or wheat intolerance, nonceliac gluten sensitivity or wheat sensitivity, CD, and wheat allergy can be confusing. These forms of intolerance combined affect approximately 10% of the United States population. In this article we clarify the range of gluten and/or wheat disorders, clinical features, diagnosis, and management.
无麸质饮食在消费者中越来越受欢迎，并推动了全球无麸质产品市场的发展。无麸质饮食是乳糜泻（CD）的唯一治疗方法。然而，许多患者在出现腹胀、腹痛或腹泻等胃肠道症状后，在未进行食物过敏或CD的正式评估检测的情况下，自行报告并怀疑“麸质敏感”，而这些症状在无麸质饮食后会有所缓解。与麸质和/或小麦不耐受、非乳糜泻性麸质敏感或小麦敏感、CD以及小麦过敏相关的术语可能会让人混淆。这些不耐受形式加起来约影响美国10%的人口。在本文中，我们阐明了麸质和/或小麦相关疾病的范围、临床特征、诊断和管理方法。
