Diagnosing a Patient With Severe and Protracted Diarrhea due to Celiac Disease: When And How Should Capsule Endoscopy Be Used?

 
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2008 (EN)
Diagnosing a Patient With Severe and Protracted Diarrhea due to Celiac Disease: When And How Should Capsule Endoscopy Be Used? (EN)

Chatzimavroudis, G.
Soufleris, K.
Zavos, C.
Vasiliadis, I.
Triantafillidis, I.
Katsinelos, P.
Stergiou, I.
Tsolkas, P.
Kapitsinis, I.

We present the case of a 68 year-old man with renal failure and metabolic acidosis due to severe and chronic protracted diarrhea. Previous examinations, including IgA AGA and IgA tTG, endoscopy, and duodenal biopsies, were inconclusive. Wireless capsule endoscopy (WCE) of the small bowel showed flattened and scalloped folds and a characteristic mosaic pattern of the entire small intestine, consistent with the diagnosis of celiac disease (CD), which was also confirmed with a positive examination for antiendomysial antibodies. A gluten-free diet led to gradual clinical improvement. The case underscores the emerging role of WCE in the diagnosis of celiac disease in light of the recent evidence provided by relevant studies. (EN)

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Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2008-07-10


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 21, No 1 (2008); 59-62 (EN)



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