in the follow up of adult patients with celiac disease on a gluten-free diet
- 1McMaster University, Canada
- 2Hospital Udaondo, Argentina
Gluten free diet is the only available treatment for celiac disease. Celiac patients who do not adhere to a strict gluten-free diet have been found to have complications involving nutritional deficiencies, increased risk of bone fractures, increased risk of mortality and certain types of cancers. Complete removal of gluten from the diet in a patient with celiac disease often results in symptomatic, serologic, and histologic remission. However, strict compliance with the diet is challenging. Long-term follow-up care is needed to assure treatment compliance and positive health outcomes. Monitoring celiac specific serology, nutrient deficiencies, bone mineral density and assessment of GFD compliance have been recommended in clinical practice. However, there is no consensus on which specific tests and how often they should be performed during the follow up. Here we have performed a review of the literature on current strategies to follow up CD patients. There are new tools for monitoring adherence to the GFD which could change some paradigms in following up treated patients.
Keywords: Celiac Disease, gluten-free diet (GFD), adherence, follow-, Monitoring
Received: 01 Jul 2019;
Accepted: 11 Sep 2019.
Copyright: © 2019 Pinto-Sanchez and Bai. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: MD. Maria I. Pinto-Sanchez, McMaster University, Hamilton, Canada, firstname.lastname@example.org