No popular authors found.


Get Celiac.com's E-Newsletter

Categories

No categories found.







Ads by Google:


Questions? Join Our Forum:
~1 Million Posts
& Over 66,000 Members!



SHARE THIS PAGE:
Celiac.com Sponsors:

Can Video Capsule Endoscopy Diagnose Celiac Disease When Esophogastroduodenoscopy (EGD) and Biopsy Fail?

Celiac.com 12/10/2012 - In celiac disease, doctors use video capsule endoscopy (VCE) mainly to follow-up on stubborn cases, and to diagnose adenocarcinoma, lymphoma or refractory celiac disease. However, some doctors are suggesting that VCE could replace standard esophagogastroduodenoscopy (EGD) and biopsy in certain circumstances.

Photo: CC--cliff1066A team of researchers recently evaluated the use of VCE to diagnose celiac disease in place of esophagogastroduodenoscopy (EGD) and biopsy under certain circumstances.

The research team included Matthew S. Chang, Moshe Rubin, Suzanne K Lewis, and Peter H. Green. They are variously affiliated with the Celiac Disease Center, Division of Digestive and Liver Diseases of the Department of Medicine at Columbia University College of Physicians and Surgeons in New York, and with the Division of Gastroenterology and Hepatology of the Department of Medicine at New York Hospital Queens, Weill Cornell Medical College in Flushing, New York.

For their study, the team evaluated eight patients with suspected celiac disease who were diagnosed by VCE.

Of the eight patients, four underwent EGD and biopsy, with negative biopsy results. Two patients declined the procedure, and two showed contradictory results due to hemophilia and von Willebrand disease.

Ads by Google:

Using VCE, the team found that all patients showed mucosal scalloping, mucosal mosaicism and reduced folds in either the duodenum or jejunum.

After treatment with a gluten-free diet, seven patients who participated in follow-up showed improvement in either their blood tests, or their presenting clinical symptoms.

From this small study, the team concludes that VCE and the observation of the classic mucosal changes of villous atrophy may replace biopsy as the mode of diagnosis for celiac disease in patients who either decline EGD, or show contradictory results, or in suspect patients with negative duodenal biopsy.

They encourage further study to determine the role and cost of using VCE to diagnose celiac disease.

Source:

Celiac.com welcomes your comments below (registration is NOT required).












Related Articles



Comments




Rate this article and leave a comment:
Rating: * Poor Excellent
Your Name *: Email (private) *:




In Celiac.com's Forum Now:


I have Julian Bakery Bars, Miracle Noodle MRE, I also have cans of freeze dried eggs. Gluten Free Emergency kits, Mountain House, Thrive, and Augason Farms (used to) have gluten free options of freeze dried foods. Make sure you check the box or look at the gluten-free versions of selections but t...

Almond flour is a VERY common one, look up recipes yourself, I have used coconut for a softer breading, works well, I have a customer at my bakery who claims she loves dipping her chicken in chia seeds then frying them...bit extra crunchy. I have used bean chips like Beanitos and Beanfields fla...

For chicken and fish I have always dipped them in regular all purpose flour or breadcrumbs but seeking a healthier option, any ideas please?

Thank you for all of the info/advice. From a Psoriatic standpoint I had to eat healthier no matter what so my diet changes will need to be focused on that. It's just a few simple foods I need to get clear on, maybe you can advise on this please? Is it ok for a Celiac to eat regular eggs or would ...

Beans and legumes do contain lectins. I am not sure if pressurized cooking really removes them (and I cook with one). I would look for scientific research and not a blog to back this up. If you suspect lectins are an issue for you and are willing to experiment, then completely remove them for...