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Low Adherence to Biopsy Guidelines Affects Celiac Disease Diagnosis in the ... - Sacramento Bee


Scott Adams

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Sacramento Bee

By Columbia University Medical Center NEW YORK, July 8, 2011 -- /PRNewswire-USNewswire/ -- A new study has found that most patients undergoing biopsy of the small intestine do not have the recommended number of samples to diagnose celiac disease. ...

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rosetapper23 Explorer

In my opinion, having the endoscopy represent the "gold standard" for diagnosis of celiac is ridiculous. Any time you have surgeons and pathologists with varying degrees of experience and expertise involved, you're going to get different outcomes. It's simply playing a game of Russian Roulette. I think endoscopies should only be used to judge the extent of damage in individuals who are severely ill and do not seem to be responding to a gluten-free diet. As a diagnostic tool, it's a failure--costly and unreliable. Hopefully, the medical community will come up with a less-invasive and more reliable way to diagnose celiac in the future.

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