RT Journal Article
SR Electronic
T1 How to manage adult coeliac disease: perspective from the NHS England Rare Diseases Collaborative Network for Non-Responsive and Refractory Coeliac Disease
JF Frontline Gastroenterology
JO Frontline Gastroenterol
FD BMJ Publishing Group Ltd
SP flgastro-2019-101191
DO 10.1136/flgastro-2019-101191
A1 Elisabeth Megan Rose Baggus
A1 Marios Hadjivassiliou
A1 Simon Cross
A1 Hugo Penny
A1 Heidi Urwin
A1 Sarah Watson
A1 Jeremy Mark Woodward
A1 David S Sanders
YR 2019
UL http://fg.bmj.com/content/early/2019/08/07/flgastro-2019-101191.abstract
AB Adult coeliac disease (CD) affects approximately 1% of the population. Most patients diagnosed will respond to a gluten-free diet; however, up to 30% may have persisting symptoms. Such patients may have ongoing issues associated with adherence, non-responsive CD or refractory CD. This article provides a clinical overview of how to manage this group of patients with persisting symptoms, including an investigational algorithm and details of how to contact the National Health Service England Rare Diseases Collaborative Network for Non-Responsive and Refractory Coeliac Disease. We hope this will be a valuable source of contemporary information for all UK gastroenterologists and internationally.