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Does coeliac disease affect colorectal practice?

David S Sanders1, David P Hurlstone, Steve Brown

  • 1Department of General Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, UK. d.s.sanders28@btopenworld.com

International Journal of Colorectal Disease
|November 15, 2006
PubMed
Summary
This summary is machine-generated.

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Coeliac disease affects 1% of European adults, yet most cases remain undiagnosed. This review updates data on coeliac disease case finding to improve clinical recognition and diagnosis.

Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Clinical Diagnostics

Background:

  • Coeliac disease (a serious autoimmune disorder) affects 1% of the adult European population.
  • The majority of coeliac disease cases remain undiagnosed, often presenting with non-specific gastrointestinal symptoms.
  • Unrecognized coeliac disease may be encountered in colorectal clinics, presenting as iron deficiency anaemia or irritable bowel syndrome, or as emergency admissions for abdominal pain.

Purpose of the Study:

  • To provide an updated review of published data on case finding for coeliac disease.
  • To enhance the recognition and diagnosis of coeliac disease in clinical practice.

Main Methods:

  • Literature review of published data on coeliac disease case finding.
  • Analysis of diagnostic challenges and clinical presentations.

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Main Results:

  • Coeliac disease is frequently underdiagnosed, particularly in adults presenting with vague symptoms.
  • Non-specific gastrointestinal symptoms, iron deficiency anaemia, and irritable bowel syndrome can be indicators of coeliac disease.
  • Emergency presentations with abdominal pain may also represent undiagnosed coeliac disease.

Conclusions:

  • Improved awareness and updated case-finding strategies are crucial for diagnosing coeliac disease.
  • Clinicians should consider coeliac disease in patients with unexplained gastrointestinal issues.
  • Enhanced diagnostic approaches can lead to earlier identification and management of coeliac disease.