title: Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology.
abstract: A multidisciplinary panel of 18 physicians and 3 non-physicians from eight countries (Sweden, UK, Argentina, Australia, Italy, Finland, Norway and the USA) reviewed the literature on diagnosis and management of adult coeliac disease (CD). This paper presents the recommendations of the British Society of Gastroenterology. Areas of controversies were explored through phone meetings and web surveys. Nine working groups examined the following areas of CD diagnosis and management: classification of CD; genetics and immunology; diagnostics; serology and endoscopy; follow-up; gluten-free diet; refractory CD and malignancies; quality of life; novel treatments; patient support; and screening for CD.
authors.affiliation: Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden Department of Paediatrics, Örebro University Hospital, Örebro, Sweden.
authors.forename: Jonas F
authors.initials: JF
authors.lastname: Ludvigsson
authors.affiliation: Department of Medicine, Dr C. Bonorino Udaondo Gastroenterology Hospital, Del Salvador University, Buenos Aires, Argentina.
authors.forename: Julio C
authors.initials: JC
authors.lastname: Bai
authors.affiliation: Coeliac Centre/1st Department of Internal Medicine, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Biagi
authors.affiliation: University of Nottingham, Department of Epidemiology and Public Health, Nottingham City Hospital, Nottingham, UK.
authors.forename: Timothy R
authors.initials: TR
authors.lastname: Card
authors.affiliation: Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
authors.forename: Carolina
authors.initials: C
authors.lastname: Ciacci
authors.affiliation: Gastroenterology, Division of Nutritional Sciences, King's College London, The Rayne Institute, St Thomas Hospital, London, UK.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Ciclitira
authors.affiliation: Coeliac Disease Center at Columbia University, New York, New York, USA.
authors.forename: Peter H R
authors.initials: PH
authors.lastname: Green
authors.affiliation: Department of Neurology, Royal Hallamshire Hospital, Sheffield, UK.
authors.forename: Marios
authors.initials: M
authors.lastname: Hadjivassiliou
authors.affiliation: Registered dietitian and representative of the British Dietetic Association, Bath, Somerset, UK.
authors.forename: Anne
authors.initials: A
authors.lastname: Holdoway
authors.affiliation: Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
authors.forename: David A
authors.initials: DA
authors.lastname: van Heel
authors.affiliation: School of Medicine, University of Tampere, Tampere, Finland Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland Department of Medicine, Seinäjoki Central Hospital, Finland.
authors.forename: Katri
authors.initials: K
authors.lastname: Kaukinen
authors.affiliation: Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Leffler
authors.affiliation: Department of Dermatology, Imperial College NHS Healthcare Trust, St Mary's Hospital, London, UK.
authors.forename: Jonathan N
authors.initials: JN
authors.lastname: Leonard
authors.affiliation: Department of Gastroenterology, Centre for Immune Regulation, Oslo University Hospital Rikshospitalet, Oslo, Norway.
authors.forename: Knut E A
authors.initials: KE
authors.lastname: Lundin
authors.affiliation: Coeliac UK, Apollo Centre, London, UK.
authors.forename: Norma
authors.initials: N
authors.lastname: McGough
authors.affiliation: Patient Representative & Regional Chairman for Coeliac UK, Sheffield, UK.
authors.forename: Mike
authors.initials: M
authors.lastname: Davidson
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Immunology Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Murray
authors.affiliation: Department of Gastroenterology, University Hospital Llandough, Wales, UK.
authors.forename: Gillian L
authors.initials: GL
authors.lastname: Swift
authors.affiliation: Anatomical Pathology, University of Newcastle, Faculty of Health and Medicine, School of Medicine & Public Health, Callaghan, Australia.
authors.forename: Marjorie M
authors.initials: MM
authors.lastname: Walker
authors.affiliation: Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
authors.forename: Fabiana
authors.initials: F
authors.lastname: Zingone
authors.affiliation: Gastroenterology and Liver Unit, Royal Hallamshire Hospital & University of Sheffield, Sheffield, UK.
authors.forename: David S
authors.initials: DS
authors.lastname: Sanders
mesh_terms: D000328:Adult; D001706:Biopsy; D002446:Celiac Disease / Q000175:diagnosis* / Q000178:diet therapy* / Q000473:pathology; D055050:Diet, Gluten-Free; D004386:Duodenum / Q000473:pathology*; D016099:Endoscopy, Gastrointestinal; D019204:GTP-Binding Proteins; D005903:Gliadin / Q000276:immunology; D006650:Histocompatibility Testing; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood*; D000091345:Protein Glutamine gamma Glutamyltransferase 2; D011503:Transglutaminases / Q000276:immunology
chemical_list: D007070:Immunoglobulin A; D005903:Gliadin; D000091345:Protein Glutamine gamma Glutamyltransferase 2; D011503:Transglutaminases; D019204:GTP-Binding Proteins
keywords: Coeliac Disease; Gluten; Gluten Free Diet; Small Bowel Disease