Duodenal switch surgery leads to celiac disease in strange case. Photo: CC--Marco Bellucci

Celiac.com 06/15/2016 - Every so often, a medical case comes along that puzzles or interests clinicians. One recent case of celiac disease fits that bill.

The patient in this case is a 61-year-old obese woman who developed severe diarrhea that started soon after bariatric surgery and did not respond to standard medical treatment. The team treating the woman reports that, to their knowledge, this is the first reported case of clinical onset of celiac disease (CD) following duodenal switch surgery.

The research team included A Pané, A Orois, M Careaga, A Saco, E Ortega, J Vidal, P Leyes, and AJ Amor. They are variously affiliated with the Department of Endocrinology and Nutrition, and the Department of Anatomic Pathology at the Hospital Clínic in Barcelona, Spain.

After the team ruled out the most common post-operative causes of diarrhea, they ran some blood tests, and made a final diagnosis based on positive results for anti-tissue transglutaminase antibody.

In light of this case report, the team proposes that celiac disease should be ruled out in any patient presenting with typical or atypical symptoms after bariatric surgery, regardless of the latency of onset.

Read more on this case in the Eur J Clin Nutr. 2016 Apr 20. doi: 10.1038/ejcn.2016.65.

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