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<channel><title><![CDATA[Celiac Disease & Gluten-free Diet Information at Celiac.com - Comments for article: Are Estimates of Celiac Disease Rates Too High?]]></title><link>http://www.celiac.com</link><description /><language>en-us</language><copyright><![CDATA[http://www.celiac.com]]></copyright><generator>N/A</generator><webMaster>scott@celiac.com</webMaster><lastBuildDate>Mon, 20 May 2013 19:37:44 PDT</lastBuildDate><ttl>20</ttl><item><title><![CDATA[Comment #1]]></title><link>http://www.celiac.com/articles/22423/1/Are-Estimates-of-Celiac-Disease-Rates-Too-High/Page1.html#Comment8121</link><description><![CDATA[Dr. Fasano can be credited for the current gold-standard of celiac disease diagnosis confirmation using endoscopy. Now that he's backing off that, saying that sera confirmation appears to be enough...where does that leave this estimation?<br/><br/>
(Comment posted by Kit Kellison at 12:28 pm, Wed 2nd Feb 2011)]]></description><author>no@spam.com (Kit Kellison)</author><pubDate><![CDATA[Wed, 02 Feb 2011 12:28:19 PST]]></pubDate><guid isPermaLink="true">http://www.celiac.com/articles/22423/1/Are-Estimates-of-Celiac-Disease-Rates-Too-High/Page1.html#Comment8121</guid></item><item><title><![CDATA[Comment #2]]></title><link>http://www.celiac.com/articles/22423/1/Are-Estimates-of-Celiac-Disease-Rates-Too-High/Page1.html#Comment9240</link><description><![CDATA[I was told that the only true exact diagnosis was biopsy. Serology in my case every time did not show celiac disease, however biopsy with a second opinion did, on the other hand a second biopsy showed leukocytic colitis and then my doctor told me I only had IBS. So what is the real truth in this matter?<br/><br/>
(Comment posted by VICKIE at 3:39 pm, Thu 18th Aug 2011)]]></description><author>no@spam.com (VICKIE)</author><pubDate><![CDATA[Thu, 18 Aug 2011 15:39:13 PDT]]></pubDate><guid isPermaLink="true">http://www.celiac.com/articles/22423/1/Are-Estimates-of-Celiac-Disease-Rates-Too-High/Page1.html#Comment9240</guid></item><item><title><![CDATA[Comment #3]]></title><link>http://www.celiac.com/articles/22423/1/Are-Estimates-of-Celiac-Disease-Rates-Too-High/Page1.html#Comment11088</link><description><![CDATA[This is a rubbish study - the biopsy has repeatedly been shown to be a crap tool to assess the severity of coeliac disease - and bunching a handful of studies together proves absolutely nothing when populations have such markedly different rates of coeliac disease (as was actually stated in the article). And this makes complete sense when you look at the genetic markers which vary considerably from population to population.   On top of which doctors are stupid - they treat their patients like idiots - without even realising that they're ruining their own tests by not clearly ensuring the patient is ingesting significant amounts of gluten in the lead up to the test.    On top of which what person in their right mind would let a doctor biopsy them after they've had a blood test that's 99- 100 percent specific.  Yes, the blood test is a terrible screening test - but it is because it misses about 20% of full blown coeliacs - not because it is over-diagnosing the condition.  So Viki ignore your blood test - you have celiac - because of this high false negative rate a positive biopsy trumps a negative blood test every time - in the same way that a positive blood test should trump a negative biopsy - because even good doctors can miss the specific patch that shows coeliac damage - and bad doctors and inexperienced doctors have a success rate that is astoundingly low.

So the whole "Gold standard"  thing is a load of croc designed to lower rates of coeliac - not only does it increase the number of people opting out of testing but there's also a reasonable chance of a false negative further artificially reducing the "coeliac" population.   To get a real handle on all this we need to roll on AGA testing as the traditional concept of "Coeliac" is being proven to be more and more a construct of the belief that the condition of coeliac is rare - instead of the product of scientific evidence.<br/><br/>
(Comment posted by a j ponder at 4:36 am, Tue 10th Apr 2012)]]></description><author>no@spam.com (a j ponder)</author><pubDate><![CDATA[Tue, 10 Apr 2012 04:36:06 PDT]]></pubDate><guid isPermaLink="true">http://www.celiac.com/articles/22423/1/Are-Estimates-of-Celiac-Disease-Rates-Too-High/Page1.html#Comment11088</guid></item></channel></rss>