Effectiveness of Non-Budesonide Therapies in Management of Microscopic Colitis: A Systematic Review and Meta-analysis

Rehde, Amalie; Hendel, Sebastian Kjærgaard; Juhl, Carsten Bogh; Gubatan, John; Nielsen, Ole Haagen

doi:10.1007/s40265-023-01914-4

Cited by 5 publications

(1 citation statement)

References 63 publications

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“…In this context, dietary transgressions are an essential bias in interpreting the clinical course of these patients [ 12 , 16 , 138 ]. An associated pathology is the actual cause of the ongoing symptoms: microscopic colitis [ 147 , 148 , 149 , 150 ], SIBO [ 151 , 152 , 153 , 154 ], malabsorption of simple carbohydrates (e.g., lactose, fructose, or sorbitol) [ 155 , 156 , 157 ], and others such as reflux dysmotility [ 135 ], PEI [ 158 , 159 ], idiopathic bile salt malabsorption [ 160 , 161 , 162 ], Crohn’s disease, [ 163 , 164 , 165 , 166 , 167 , 168 , 169 , 170 , 171 , 172 , 173 ], and other functional digestive disorders, including irritable bowel syndrome [ 174 , 175 , 176 ]. In such patients, it is obvious that the nature of the symptoms is due to a different cause that overlaps with that of CeD itself.…”

Section: Patient Follow-upmentioning

confidence: 99%

The Gluten-Free Diet for Celiac Disease: Critical Insights to Better Understand Clinical Outcomes

Simón,

Molero-Luis,

Fueyo-Díaz

et al. 2023

Nutrients

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The gluten-free diet (GFD) remains a complex paradigm in managing celiac disease (CeD) in children and adults, and there are many reasons why GFD adherence should be strict to improve outcomes. However, this is a challenging task for patients, since they need to have access to quality healthcare resources that facilitate optimal GFD adherence. Understanding the strengths and weaknesses of the GFD, tackling coexisting nutritional deficiencies, and dealing with complex situations, such as seronegative CeD or non-responsive CeD, all require the involvement of a multidisciplinary team. The short- and long-term follow-up of CeD patients should preferably be performed by a combined Gastroenterology and Nutrition service with well-defined quality standards and the multidisciplinary involvement of physicians, nurses, dietitians, and psychologists. Nutritional advice and counseling by an experienced dietitian can reduce the costs associated with long-term follow-up of CeD patients. Likewise, psychological interventions may be essential in specific scenarios where implementing and sustaining a lifelong GFD can cause a significant psychological burden for patients. This manuscript aims to provide guidelines to improve clinical practice in the follow-up and monitoring of CeD patients and provide information on the nutritional risks of an ill-advised GFD. Clinicians, biochemists, food technologists, dietitians, and psychologists with a global view of the disease have been involved in its writing.

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