title: Coeliac disease clinically manifest after vagotomy and oesophagectomy.
abstract: The clinical onset of coeliac disease may be precipitated by upper digestive tract surgery. A 66-year-old woman with asymptomatic coeliac disease that became clinically evident after oesophagectomy and vagotomy is presented. The surgery was performed for a squamous carcinoma of the hypopharynx. There had been no signs or symptoms of coeliac disease preoperatively. Persistent untreatable hypocalcaemia after the operation suggested the diagnosis. The role of surgery in unmasking asymptomatic coeliac disease is discussed.
authors.affiliation: Department of General Internal Medicine, University Hospital, Leiden, Netherlands.
authors.forename: D
authors.initials: D
authors.lastname: ten Bokkel Huinink
authors.forename: P H
authors.initials: PH
authors.lastname: de Meijer
authors.forename: A E
authors.initials: AE
authors.lastname: Meinders
mesh_terms: D000368:Aged; D002446:Celiac Disease / Q000097:blood / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D016629:Esophagectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000150:complications; D011183:Postoperative Complications / Q000175:diagnosis; D014628:Vagotomy / Q000009:adverse effects*