Elemental diet in the treatment of refractory coeliac disease.
A minority of patients with coeliac disease do not improve in spite of strictly adhering to gluten-free diet and are considered to have developed refractory disease. Such patients are usually treated with steroid and/or immunosuppressive agents but these are not without serious side effects. Herein, we present a patient with refractory coeliac disease in whom remarkable clinical and histological improvement was achieved on elemental diet. Elemental diet should be considered as a treatment option in such patients.
Mandal
A
A
Gastrointestinal Research Unit, Leicester General Hospital, UK. adityamandal@hotmail.com
Mayberry
J
J
D002446:Celiac Disease / Q000178:diet therapy*; D005260:Female; D005526:Food, Formulated; D005983:Glutens; D006801:Humans; D008875:Middle Aged; D017211:Treatment Failure
D005983:Glutens