Celiac.com 01/17/2019 - Kids with celiac disease, especially those who are recently diagnosed, are not getting proper follow-up care, according to the latest report. A team of researchers recently set out to assess the follow-up care of children with biopsy-confirmed celiac disease over a minimum of three years following diagnosis. Their results appear in Clinical Gastroenterology and Hepatology. The research team included Bradley A. Blansky MS, Zackary J. Hintze BA, Eaman Alhassan MD, Alan M. Leichtner MD MCHPE, Dascha C.Weir MD, and Jocelyn A. Silvester MD, PhD.
They are variously affiliated with the Harvard Celiac Disease Program, Boston, MA; the Boston Children’s Hospital, Harvard Medical School, Boston, MA; Boston University, Boston, MA; the Department of Medicine, West Virginia U...

Celiac.com 03/02/2020 - Current practice of using biopsy to diagnose children with celiac disease is changing to diagnosis without biopsy. 
The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) recently issued new guidelines that recommend doctors diagnosing celiac disease omit biopsy in favor of a two-stage blood test, for the majority of children suspected of having the disease.
New guidelines for diagnosing celiac disease in children call for avoiding biopsies in favor of a two-stage blood test. Until now, about half of all kids diagnosed with celiac disease got a biopsy. The new guidelines mean that nearly all kids will avoid the procedure in favor of a two-stage blood test.
The new guidelines recommend that doctors:
Conduct ...

Celiac.com 08/11/2020 - Research shows that people with celiac disease have an altered gut microbiota, compared with healthy control subjects. A team of researchers recently set out to evaluate the composition of the microbiota of children at celiac onset, and the connection between bacterial abundances and symptoms.
The research team included Anna Rita Di Biase, Giovanni Marasco, Federico Ravaioli, Elton Dajti, Luigi Colecchia, Beatrice Righi, Virginia D'Amico, Davide Festi, Lorenzo Iughetti, and Antonio Colecchia. They are variously affiliated with the Pediatric Unit, Modena University Hospital, Modena, Italy; the Department of Medical and Surgical Sciences, University of Bologna, Italy; and the Gastroenterology Unit of University Hospital Borgo Trento in Verona, Italy.
Celiac p...

Celiac.com 12/14/2020 - The science behind celiac disease diagnosis has been moving rapidly away from biopsy. First, biopsy screening was eliminated for celiac diagnosis in most children. Then, the European Society for the Study of Paediatric Gastroenterology, Hepatology and Nutrition guidelines suggested that celiac disease can be diagnosed without taking duodenal biopsies. The latest diagnostic guidelines suggest that a 10-fold increase in IgA antitissue transglutaminase (tTG) antibody levels, in combination with EMA positivity, supports a diagnosis of celiac disease, without the need for a duodenal biopsy. 
However, this approach has not yet been widely adopted into clinical practice for diagnosing adults, mainly due to a limited international multi-center data, and testing in ...