Clinical onset of celiac disease after duodenal switch: a case report.
To our knowledge, this is the first reported case of clinical onset of celiac disease (CD) following duodenal switch surgery. A 61-year-old obese woman developed severe diarrhea soon after bariatric surgery (BS), which was unresponsive to standard medical treatment. After the most common diarrhea etiologies in the immediate postoperative period have been excluded, serological tests were performed. Final diagnosis was determined by anti-tissue transglutaminase antibody positivity. In light of this case report, we propose that CD should be ruled out in any patient presenting with typical or atypical symptoms after BS, regardless of the latency of onset.
Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain.
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Pané
Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain.
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Orois
Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain.
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Careaga
Department of Anatomic Pathology, Hospital Clínic, Barcelona, Spain.
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Saco
Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain.
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Ortega
Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain.
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Vidal
Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain.
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Leyes
Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain.
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Amor
D001323:Autoantibodies / Q000097:blood; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000379:methods; D002446:Celiac Disease / Q000175:diagnosis / Q000209:etiology*; D003967:Diarrhea / Q000175:diagnosis / Q000209:etiology; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*; D011503:Transglutaminases
D001323:Autoantibodies; D011503:Transglutaminases