Need for follow up in coeliac disease.

Bardella, Maria Teresa; Molteni, N; Prampolini, L.; Giunta, Anna; Baldassarri, A.; Morganti, D; Bianchi, Paolo

doi:10.1136/adc.70.3.211

Cited by 117 publications

(93 citation statements)

References 9 publications

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“…Rates of strict adherence to a GFD in adults have been found to vary between 17% and 45% [16,17,25,26]. Fewer than 50% of adults with CD studied in France and Belgium strictly adhered to a GFD for more than one year after being diagnosed [27].…”

Section: Discussionmentioning

confidence: 99%

Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease

et al. 2007

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Objective-The only treatment for celiac disease is lifelong adherence to a gluten-free diet, yet adherence is limited and factors influencing adherence are poorly understood. The purpose of this study was to determine factors influencing gluten-free diet adherence in adults with celiac disease.Methods-A questionnaire was developed and administered to 154 adults with celiac disease who then underwent a standardized gluten-free diet evaluation by an experienced nutritionist. Multivariate analysis was conducted to determine factors associated with adherence level.Results-Thirteen factors hypothesized to contribute to gluten-free diet adherence were found to be significantly associated with improved adherence including: understanding of the gluten-free diet, membership of a celiac disease advocacy group, and perceived ability to maintain adherence despite travel or changes in mood or stress (P < 0.001). Conclusions-This study identified specific factors correlated with gluten-free diet adherence. These results provide a foundation for the design of educational interventions to improve adherence. NIH Public Access

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Section: Discussionmentioning

confidence: 99%

Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease

et al. 2007

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“…Nevertheless, as demonstrated in our second and third patients, when the epilepsy is not improved by the diet (37) and is intractable, surgical treatment must be considered. An extensive occipital cortex resection (6,12), when unilateral onset can be demonstrated, will lead to hemianopia.…”

Section: Discussionmentioning

confidence: 99%

Celiac Disease, Bilateral Occipital Calcifications and Intractable Epilepsy: Mechanisms of Seizure Origin

Bernasconi

Andermann

et al. 1998

Epilepsia

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Summary: Purpose:To elucidate the mechanisms of seizure origin in patients with celiac disease and bilateral occipital calcifications (CEBOC). Individuals with CEBOC frequently present with occipital lobe seizures, but additional lesions and additional attack patterns may occur.Methods: We studied two men and one woman who had CEBOC. Villous atrophy was revealed in the two patients who underwent duodenal biopsy. All had a comprehensive presurgical evaluation, including prolonged video-EEG recordings. Two had magnetic resonance imaging (MRI) with volumetric study of mesial temporal structures (MRIV). One patient had undergone stereotactic intracranial depth electrode studies (SEEG).Results: All patients presented with intractable complex partial seizures. Two had partial simple seizures with visual aura. Neurologic examination was normal; one was of normal intelligence, and two were mildly retarded. Neuroimaging studies showed that each had bilateral occipital calcifications as well as epileptiform abnormalities over temporal lobes. In one, MRI showed an additional right frontal lesion, but SEEG demonstrated right occipital lobe seizure origin with anterior spread; this male patient later underwent a right occipital lobe resection. Another with a history of prolonged febrile convulsions had bilateral hippocampal and amygdalar atrophy demonstrated by MRIV.Conclusions: In one patient, SEEG confirmed that seizures originated in the occipital lobe. The presence of dual pathology was demonstrated in another, raising the possibility of both occipital and temporal seizure onset. The presence of extraoccipital lesions or of mesial temporal atrophy requires SEEG for clarification of seizure onset. In the absence of confounding factors and when laterality can be demonstrated, surgical treatment may be considered.

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“…Строгому соблюдению требований АГД следу ют от 50 до 80% пациентов с целиакией [75]. При обследовании подростков с диагностированной в детском возрасте целиакией установлено, что мно гие из них регулярно употребляют продукты, со держащие глютен, более часто страдают расстрой ствами пищеварения, имеют более высокие титры серологических маркеров и более выраженные морфологические изменения в тонкой кишке [76,77].…”

Section: лечениеunclassified

Celiac disease. From the pathogenesis to the treatment

Farber¹,

Никонов²

2014

Dok. gastroenterol.

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В работе рассмотрены клинические проявления, лабораторные и инструментальные методы исследования, использующиеся при диагностике целиакии. Указаны клинические проявления и клинико-морфологические особенности заболевания, варианты его течения, а также диетологические ограничения и лечение. This article is focused on the clinical manifestations of celiac disease, the laboratory and instrumental methods used for the study and diagnostics of this pathological condition. The main clinical symptoms as well as specific clinico-morphological features of this pathology are described. Variants of its clinical picture are considered with special reference to the relevant therapeutic modalities and dietary restrictions.

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Need for follow up in coeliac disease.

Cited by 117 publications

References 9 publications

Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease

Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease

Celiac Disease, Bilateral Occipital Calcifications and Intractable Epilepsy: Mechanisms of Seizure Origin

Celiac disease. From the pathogenesis to the treatment

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