Celiac disease other diagnostic studies: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(2 intermediate revisions by one other user not shown)
Line 2: Line 2:
{{Celiac disease}}
{{Celiac disease}}


{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{MIR}}


==Overview==
==Overview==
Line 9: Line 9:
==Other Diagnostic Studies==
==Other Diagnostic Studies==
===Endoscopy===
===Endoscopy===
[[File:Webp.g-gifmaker (2).gif|left|thumb|300px|Attributed to wikimedia.com]]
[[File:Webp.g-gifmaker (2).gif|left|thumb|300px|Source: wikimedia.com]]
Endoscopy may be helpful in the diagnosis of celiac disease specially when the [[biopsies]] of luminal wall are obtained for [[microscopic]] evaluation. An [[upper endoscopy]] with [[biopsy]] of the [[duodenum]] (beyond the [[duodenal bulb]]) or [[jejunum]] should be performed. Multiple samples should be obtained (four to eight) from the [[duodenum]]. As celiac disease has a sparing feature, not all areas may be equally affected. Thus if [[biopsies]] are taken from healthy [[bowel]], it would result in false negative results.
Endoscopy may be helpful in the diagnosis of celiac disease specially when the [[biopsies]] of luminal wall are obtained for [[microscopic]] evaluation. An [[upper endoscopy]] with [[biopsy]] of the [[duodenum]] (beyond the [[duodenal bulb]]) or [[jejunum]] should be performed. Multiple samples should be obtained (four to eight) from the [[duodenum]]. As celiac disease has a sparing feature, not all areas may be equally affected. Thus if [[biopsies]] are taken from healthy [[bowel]], it would result in false negative results.


Line 24: Line 24:
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Primary care]]
[[Category:Rheumatology]]
[[Category:Rheumatology]]
[[Category:Autoimmune diseases]]
[[Category:Autoimmune diseases]]
[[Category:Gastroenterology]]
[[Category:Genetic disorders]]
[[Category:Genetic disorders]]
[[Category:Malnutrition]]
[[Category:Malnutrition]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Primary care]]
[[Category:Up-To-Date]]
[[Category:Up-To-Date]]
{{WH}}
{{WS}}

Latest revision as of 20:50, 29 July 2020

Celiac disease Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Celiac disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Life Style Modifications
Pharmacotherapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Celiac disease other diagnostic studies On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Celiac disease other diagnostic studies

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

National Guidelines Clearinghouse

NICE Guidance

FDA on Celiac disease other diagnostic studies

CDC on Celiac disease other diagnostic studies

Celiac disease other diagnostic studies in the news

Blogs onCeliac disease other diagnostic studies

Directions to Hospitals Treating Celiac disease

Risk calculators and risk factors for Celiac disease other diagnostic studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]

Overview

Endoscopy may be helpful in the diagnosis of celiac disease especially when the biopsies of luminal wall are obtained for microscopic evaluation. Most patients with celiac disease have a small bowel that appears normal on endoscopy; however the following findings are more suggestive of celiac disease: Scalloping of the small bowel folds, paucity in the folds, mosaic pattern of the mucosa, prominence of the submucosal blood vessels, and Nodular pattern to the mucosa.

Other Diagnostic Studies

Endoscopy

Source: wikimedia.com

Endoscopy may be helpful in the diagnosis of celiac disease specially when the biopsies of luminal wall are obtained for microscopic evaluation. An upper endoscopy with biopsy of the duodenum (beyond the duodenal bulb) or jejunum should be performed. Multiple samples should be obtained (four to eight) from the duodenum. As celiac disease has a sparing feature, not all areas may be equally affected. Thus if biopsies are taken from healthy bowel, it would result in false negative results.

Most patients with celiac disease have a small bowel that appears normal on endoscopy; however the following findings are more suggestive of celiac disease:[1]




Fiberoptic endoscopy carries a higher sensitivity rate than historical methods like Watson capsule. In the Watson capsule method, biopsies were obtained using metal capsules attached to a suction device. The capsule was swallowed and allowed to pass into the small intestine. After X-ray verification of its position, suction was applied to collect part of the intestinal wall inside the capsule.[2]

References

  1. Niveloni S, Fiorini A, Dezi R, Pedreira S, Smecuol E, Vazquez H, Cabanne A, Boerr LA, Valero J, Kogan Z, Maurino E, Bai JC. (1998). "Usefulness of videoduodenoscopy and vital dye staining as indicators of mucosal atrophy of celiac disease: assessment of interobserver agreement". Gastrointestinal Endoscopy. 47 (3): 223–229. PMID 9580349.
  2. Mee A, Burke M, Vallon A, Newman J, Cotton P (1985). "Small bowel biopsy for malabsorption: comparison of the diagnostic adequacy of endoscopic forceps and capsule biopsy specimens". Br Med J (Clin Res Ed). 291 (6498): 769–72. PMID 3929934.

Template:WH Template:WS