title: Celiac disease suspected at endoscopy in patients with chronic liver disease.
abstract: Endoscopic findings of celiac disease have high specificity and sensitivity. We evaluated records of 137 consecutive patients who had endotherapy for variceal hemorrhage, and who had features of celiac disease at endoscopy; patients who had such markers at endoscopy had undergone duodenal histology and serology. Thirty-one patients had changes of portal hypertensive vasculopathy in the duodenum, 8 had scalloping, and 6 had mosaic pattern; 3 patients also had decreased fold height or sparse folds in the descending duodenum. Six of these 8 patients had positive serology and histology suggestive of celiac disease. Endoscopic evaluation resulted in diagnosis of CD in 4.37% patients of chronic liver disease undergoing endotherapy.
authors.affiliation: Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. dr_kochhar@hotmail.com
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kochhar
authors.forename: Usha
authors.initials: U
authors.lastname: Dutta
authors.forename: Amit
authors.initials: A
authors.lastname: Miglani
authors.forename: Suraj
authors.initials: S
authors.lastname: Bhagat
authors.forename: Kuchhangi Sureshchandra
authors.initials: KS
authors.lastname: Poornachandra
authors.forename: Kim
authors.initials: K
authors.lastname: Vaiphei
authors.forename: Chander K
authors.initials: CK
authors.lastname: Nain
authors.forename: Kartar
authors.initials: K
authors.lastname: Singh
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D002446:Celiac Disease / Q000097:blood / Q000150:complications* / Q000473:pathology*; D002908:Chronic Disease; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D008297:Male; D008875:Middle Aged; D055815:Young Adult
chemical_list: D015415:Biomarkers