Alberto Rubio-Tapia; Joseph A. Murray

Disclosures

Curr Opin Gastroenterol. 2010;26(2):116-122. 

In This Article

Abstract and Introduction

Abstract

Purpose of review To summarize recent advances in celiac disease published between August 2008 and July 2009.
Recent findings Celiac disease affects nearly 1% of most populations but remains largely unrecognized. In the last year, work has shown that the prevalence of celiac disease has increased dramatically, not simply due to increased detection. Also, undiagnosed celiac disease may be associated with increased mortality. Significant progress has been made in understanding how gliadin peptides can cross the intestinal border and access the immune system. New genetic loci and candidate genes that may contribute to the risk of celiac disease and its overlap with type 1 diabetes mellitus have been identified. Novel deamidated gliadin peptides antibodies have better diagnostic accuracy over native gliadin-based tests. The inclusion of duodenal bulb biopsy specimens may increase the rate of celiac disease detection. The spectrum of celiac disease likely includes a minority of patients with mild enteropathy. A practical seven-item instrument may facilitate standardized evaluation of gluten-free diet adherence. Finally, refractory celiac disease, although rare, is associated with a poor prognosis.
Summary Celiac disease is a global health problem that requires a multidisciplinary and increasingly cooperative multinational research effort.

Introduction

This review summarizes the basic and clinical advances in celiac disease published between August 2008 and July 2009 including Epub ahead of print listed by July 2009 at the time of PubMed search. During the study period, a total of 557 publications were identified in PubMed using the keyword 'celiac disease'. We exclude review articles (n = 77), case reports (n = 67), letters or editorials (n = 48), and articles not written in English language (n = 48). Thus, 317 original articles, metaanalysis, or systematic reviews were considered for inclusion. Citations were chosen on relevance by authors' subjective selection.

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