Title
[Celiac disease: descriptive study at the Anglo American clinic].
Other title
[Enfermedad celiaca: estudio descriptivo en la clínica Anglo Americana.]
Date Issued
01 January 2012
Access level
metadata only access
Resource Type
journal article
Author(s)
Abstract
Celiac disease (CD) is a condition in which gluten intake develops an autoimmune response generating intestinal villous atrophy, causing malabsorption. Prevalence worldwide is approximately 1%, in our country it is not known. Retrospective, descriptive, observational study in Anglo American Clinic between September 2004 and February 2012. We reviewed the medical charts, upper GI endoscopy reports and duodenal biopsy reports of all patients with positive anti TTG results, who were older than 18 years of age. We studied 39 cases, 26 (66.7%) women and 13 (33.3%) men. Mean age was 61.25 years. The symptoms were chronic diarrhea in 32 (82.1%), abdominal pain in 22 (56.4%), abdominal distention in 14 (35.9%), and others in lower frequency. Eight (20.5%) patients had anemia. Just 5 (12.8%) had upper endoscopy findings consistent with CD, and Marsh classification was: 0: 5 (12.7%), I: 1 (2.6%), II: 0 (0%), IIII A: 20 (51.3%), III B: 12 (30.8%) y III C: 1 (2.6%). CD should be considered as a differential diagnosis of patients with non-specific long-term gastrointestinal symptoms, extraintestinal symptoms should also be taken into account. Diagnosis should be made with anti TTG as the initial test and posteriorly with a duodenal biopsy for staging.
Start page
134
End page
140
Volume
32
Issue
2
Language
Spanish
OCDE Knowledge area
Patología
Subjects
Scopus EID
2-s2.0-84875048934
PubMed ID
Source
Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú
ISSN of the container
1609722X
Sources of information:
Directorio de Producción Científica
Scopus