Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 138-146 |
| Number of pages | 9 |
| Journal | Digestive and Liver Disease |
| Volume | 49 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2017 |
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Keywords
- Celiac disease
- Food allergy
- Gluten-related disorders
- Non-celiac gluten sensitivity
- Wheat allergy
- gluten
- immunoglobulin E
- adult
- adulthood
- celiac disease
- controlled study
- dietitian
- endoscopist
- environmental factor
- food allergy
- gastroenterologist
- genetics
- gluten free diet
- gluten related disorder
- HLA typing
- human
- Medical Subject Headings
- Medline
- nutritional disorder
- pathogenesis
- practice guideline
- priority journal
- Review
- wheat allergy
- differential diagnosis
- gastroenterology
- hospital
- Italy
- medical society
- risk factor
- Wheat Hypersensitivity
- Celiac Disease
- Diagnosis, Differential
- Diet, Gluten-Free
- Gastroenterology
- Glutens
- Hospitals
- Humans
- Risk Factors
- Societies, Medical
Cite this
Nomenclature and diagnosis of gluten-related disorders: A position statement by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO). / Elli, L.; Villalta, D.; Roncoroni, L.; Barisani, D.; Ferrero, S.; Pellegrini, N.; Bardella, M.T.; Valiante, F.; Tomba, C.; Carroccio, A.; Bellini, M.; Soncini, M.; Cannizzaro, R.; Leandro, G.
In: Digestive and Liver Disease, Vol. 49, No. 2, 2017, p. 138-146.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Nomenclature and diagnosis of gluten-related disorders: A position statement by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO)
AU - Elli, L.
AU - Villalta, D.
AU - Roncoroni, L.
AU - Barisani, D.
AU - Ferrero, S.
AU - Pellegrini, N.
AU - Bardella, M.T.
AU - Valiante, F.
AU - Tomba, C.
AU - Carroccio, A.
AU - Bellini, M.
AU - Soncini, M.
AU - Cannizzaro, R.
AU - Leandro, G.
N1 - Cited By :4 Export Date: 21 February 2018 CODEN: DLDIF Correspondence Address: Elli, L.; Center for the Prevention and Diagnosis of Celiac Disease, Fondazione IRCCS Ca’ Granda—Ospedale Maggiore PoliclinicoItaly; email: lucelli@yahoo.com
PY - 2017
Y1 - 2017
N2 - Background “Gluten-related disorders” is a term that encompasses different diseases induced by the ingestion of gluten-containing food. Because of their incidence the scientific community has been intensively studying them. Aim To support gastroenterologists with a correct nomenclature and diagnostic approach to gluten-related disorders in adulthood. Methods The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) commissioned a panel of experts to prepare a position statement clarifying the nomenclature and diagnosis of gluten-related disorders, focusing on those of gastroenterological interest. Each member was assigned a task and levels of evidence/recommendation have been proposed. Results The panel identified celiac disease, wheat allergy and non-celiac gluten sensitivity as the gluten-related disorders of gastroenterological interest. Celiac disease has an autoimmune nature, wheat allergy is IgE-mediated while the pathogenesis of non-celiac gluten sensitivity is still unknown as is the case of non-IgE mediated allergy. Diagnosis should start with the serological screening for celiac disease and wheat allergy. In case of normal values, the response to a gluten-free diet should be evaluated and a confirmatory blind food challenge carried out. Conclusions Gluten-related disorders are clinically heterogeneous. Patients should be carefully managed and specific protocols applied for a correct differential diagnosis in gastroenterological setting. © 2016 Editrice Gastroenterologica Italiana S.r.l.
AB - Background “Gluten-related disorders” is a term that encompasses different diseases induced by the ingestion of gluten-containing food. Because of their incidence the scientific community has been intensively studying them. Aim To support gastroenterologists with a correct nomenclature and diagnostic approach to gluten-related disorders in adulthood. Methods The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) commissioned a panel of experts to prepare a position statement clarifying the nomenclature and diagnosis of gluten-related disorders, focusing on those of gastroenterological interest. Each member was assigned a task and levels of evidence/recommendation have been proposed. Results The panel identified celiac disease, wheat allergy and non-celiac gluten sensitivity as the gluten-related disorders of gastroenterological interest. Celiac disease has an autoimmune nature, wheat allergy is IgE-mediated while the pathogenesis of non-celiac gluten sensitivity is still unknown as is the case of non-IgE mediated allergy. Diagnosis should start with the serological screening for celiac disease and wheat allergy. In case of normal values, the response to a gluten-free diet should be evaluated and a confirmatory blind food challenge carried out. Conclusions Gluten-related disorders are clinically heterogeneous. Patients should be carefully managed and specific protocols applied for a correct differential diagnosis in gastroenterological setting. © 2016 Editrice Gastroenterologica Italiana S.r.l.
KW - Celiac disease
KW - Food allergy
KW - Gluten-related disorders
KW - Non-celiac gluten sensitivity
KW - Wheat allergy
KW - gluten
KW - immunoglobulin E
KW - adult
KW - adulthood
KW - celiac disease
KW - controlled study
KW - dietitian
KW - endoscopist
KW - environmental factor
KW - food allergy
KW - gastroenterologist
KW - genetics
KW - gluten free diet
KW - gluten related disorder
KW - HLA typing
KW - human
KW - Medical Subject Headings
KW - Medline
KW - nutritional disorder
KW - pathogenesis
KW - practice guideline
KW - priority journal
KW - Review
KW - wheat allergy
KW - differential diagnosis
KW - gastroenterology
KW - hospital
KW - Italy
KW - medical society
KW - risk factor
KW - Wheat Hypersensitivity
KW - Celiac Disease
KW - Diagnosis, Differential
KW - Diet, Gluten-Free
KW - Gastroenterology
KW - Glutens
KW - Hospitals
KW - Humans
KW - Risk Factors
KW - Societies, Medical
U2 - 10.1016/j.dld.2016.10.016
DO - 10.1016/j.dld.2016.10.016
M3 - Article
VL - 49
SP - 138
EP - 146
JO - Digestive and Liver Disease
JF - Digestive and Liver Disease
SN - 1590-8658
IS - 2
ER -