Enteroscopy and radiology for the management of celiac disease complications: Time for a pragmatic roadmap

Federica Branchi, Martina Locatelli, Carolina Tomba, Dario Conte, Francesca Ferretti, Luca Elli

Research output: Contribution to journalArticle

Abstract

Celiac disease is the most common autoimmune enteropathy in Western countries, and is usually associated with a good response to the gluten free diet and an excellent prognosis. However, a minority of patients develop complications of the disease, such as refractory celiac disease, ulcerative jejunoileitis and neoplastic complications such as adenocarcinoma of the small bowel and enteropathy associated T cell lymphoma. Neoplastic complications described in association with celiac disease have a high mortality rate, due to their aggressive behavior and to the usual advanced stage at the time of diagnosis. In recent years, the detection of small bowel lesions has dramatically improved thank to the availability of highly performing radiologic and endoscopic techniques. The diagnostic delay of malignant complications in patients with celiac disease may be improved by establishing a pragmatic flowchart for the identification and follow up of "at risk" patients. We performed a comprehensive review of the articles published on this issue in order to promote a roadmap to be applied when facing with celiac patients with suspected small bowel complications.

Original languageEnglish
Pages (from-to)578-586
Number of pages9
JournalDigestive and Liver Disease
Volume48
Issue number6
DOIs
Publication statusPublished - 2016

Keywords

  • Celiac disease
  • Enteropathy associated T cell lymphoma
  • Refractory celiac disease
  • Small bowel adenocarcinoma

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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