Abstract | BACKGROUND: Prior case reports have linked celiac disease with collagenous colitis, but serological and retrospective pathologic survey studies of small intestinal biopsies have produced conflicting results. METHODS: In this report, consecutive patients with chronic diarrhea and the initial finding of collagenous colitis were evaluated to determine if occult celiac disease was also present. All 36 patients with no exclusions were offered upper endoscopy and biopsies. If the changes of untreated celiac disease were detected in the small intestinal biopsies, then a gluten-free diet was instituted. Diet response was based on resolution of diarrhea and normalization of repeated small intestinal biopsies. RESULTS: CONCLUSIONS:
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Authors | Hugh James Freeman |
Journal | Journal of clinical gastroenterology
(J Clin Gastroenterol)
Vol. 38
Issue 8
Pg. 664-8
(Sep 2004)
ISSN: 0192-0790 [Print] United States |
PMID | 15319648
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Celiac Disease
(complications, pathology)
- Colitis
(etiology)
- Collagen
(analysis)
- Female
- Humans
- Male
- Middle Aged
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