[Celiacia and hypolactasia in adults: etiology, pathogenesis, diagnostics and treatment]

A review of current data on the most widespread clinical forms of intestinal enzymopathies is presented with emphasis on celiacia and hypolactasia in adult patients. An alternative definition of these diseases is proposed, their prevalence in different countries and ethnic groups is discussed. Their etiology, pathogenesis, and clinical variants in different age groups are analysed. The clinical classification of celiacia, informative value of different diagnostic methods, their specificity and sensitivity, potential for dietetic and medicamental therapy are considered.