Follow-up of Celiac Disease

Gastroenterol Clin North Am. 2019 Mar;48(1):127-136. doi: 10.1016/j.gtc.2018.09.009. Epub 2018 Dec 14.

Abstract

Currently, the only effective treatment for celiac disease is complete removal of gluten from the diet. However, patients need to follow a strict gluten-free diet that results in symptomatic, serologic, and histologic remission in most patients. Histologic remission is usually complete in children, but recovery is slower and more frequently incomplete in adults. When remission has been achieved, yearly follow-up is recommended for adults, children, and adolescents. This article deals with conventional strategies used in order to follow-up patients on treatment and aiming to obtain the best clinical outcome.

Keywords: Adherence; Adults; Children and adolescents; Follow-up; Gluten-free diet; Mucosal healing; Serology.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Celiac Disease / diagnosis
  • Celiac Disease / diet therapy*
  • Child
  • Diet, Gluten-Free*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Nutritionists
  • Patient Compliance
  • Practice Guidelines as Topic
  • Pregnancy
  • Professional Role
  • Quality of Life
  • Referral and Consultation