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Coeliac disease is a common immune-mediated systemic condition, manifested by small intestinal enteropathy triggered by exposure to gluten (a complex of water insoluble proteins in wheat, rye and barley). There are a number of recent guidelines for the management of coeliac disease in adults and children, and for the transition of paediatric patients to adult care.

This MJA narrative review shares more.

Learning Outcomes

1. Appropriately diagnose coeliac disease in high-risk groups to prevent nutritional deficiency and long-term risk of gastrointestinal malignancy
2. Follow-up patients with a yearly review of dietary adherence and health check
3. Recognise non-coeliac gluten or wheat protein sensitivity and possibly other wheat proteins in people who do not have coeliac disease or other wheat allergy recognised by diagnostic tests.

Details

Authors: Marjorie M Walker, Jonas F Ludvigsson, David S Sanders

Article Type: Narrative review