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Current Evidence in the Diagnosis and Treatment of Children With Celiac Disease

Cara Gallegos1, Rachel Merkel

  • 1Cara Gallegos, PhD, RN, is an Assistant Professor in the School of Nursing, College of Health Sciences, Boise State University, Boise, Idaho. Rachel Merkel, DNP, RN, CNE, is an Associate Professor of Nursing, University of Wisconsin-Eau Claire, College of Nursing and Health Sciences.

Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates
|January 29, 2019
PubMed

Insights

Celiac disease (CD) affects 1% of U.S. individuals, including 1 in 80 children. Early diagnosis and treatment are crucial for managing this challenging pediatric condition.

Area of Science:

  • Pediatric Gastroenterology
  • Autoimmune Disorders
  • Clinical Nursing

Background:

  • Celiac disease (CD) impacts 1% of the U.S. population, with 1 in 80 children affected.
  • Diagnosis is often delayed due to nonspecific symptoms, leading to prolonged undiagnosed periods.
  • CD requires careful management to prevent long-term health complications.

Purpose of the Study:

  • To review current evidence on celiac disease in children.
  • To examine incidence, pathophysiology, diagnosis, and treatment of pediatric CD.
  • To discuss clinical implications for healthcare providers, particularly nurses.

Main Methods:

  • Systematic literature review of existing studies on pediatric celiac disease.
  • Analysis of epidemiological data on celiac disease prevalence.
  • Synthesis of current diagnostic criteria and therapeutic approaches.

Main Results:

  • Celiac disease is a significant health concern in the pediatric population.
  • Delayed diagnosis is common, necessitating improved screening and diagnostic protocols.
  • Evidence-based treatment strategies are essential for effective disease management.

Conclusions:

  • Nurses play a vital role in identifying, diagnosing, and managing celiac disease in children.
  • Improved awareness and diagnostic tools are needed to reduce the burden of undiagnosed CD.
  • Multidisciplinary care is recommended for optimal outcomes in pediatric celiac disease patients.

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