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Area of Science:

  • Gastroenterology
  • Immunology
  • Public Health

Background:

  • Coeliac disease is a global autoimmune disorder triggered by gluten ingestion.
  • The only current treatment is a strict gluten-free diet (GFD), which significantly impacts patients' lives.
  • Untreated coeliac disease is linked to severe complications and increased mortality.

Purpose of the Study:

  • To increase awareness of the challenges faced by coeliac disease patients.
  • To highlight the importance of effective management and follow-up strategies.
  • To improve GFD adherence, prevent complications, and preserve patients' quality of life.

Main Methods:

  • This is a review article, synthesizing existing knowledge on coeliac disease management.
  • It examines barriers to GFD adherence, including food availability, cost, safety, and social restrictions.
  • It discusses the necessity and variability of routine clinical follow-up practices.

Main Results:

  • The GFD, while essential, poses substantial life changes and adherence challenges.
  • Barriers such as food accessibility, cost, cross-contamination, and social impact hinder strict GFD adherence.
  • Variability in follow-up care affects patient outcomes and complication rates.

Conclusions:

  • Increased clinician awareness of patient challenges is vital for successful coeliac disease management.
  • Optimizing GFD adherence through support and addressing barriers can reduce disease burden and healthcare costs.
  • Consistent, supportive follow-up is essential for mucosal healing, complication prevention, and improved quality of life.