Small bowel endoscopy and coeliac disease

Daveson, AJM; Anderson, RP

Author(s): Daveson, AJM; Anderson, RP;
Details: Publication Year 2012-06,Volume 26,Issue #3,Page 315-323
Journal Title: BEST PRACTICE & RESEARCH IN CLINICAL GASTROENTEROLOGY
Publication Type: Journal Article
Abstract: Coeliac disease (CD) is a gluten-responsive, chronic inflammatory enteropathy that shares many features with classical autoimmune diseases. Coeliac disease affects about 1-2% of Caucasians, North Africans and Asians who possess the necessary susceptibility genes encoding HLA DQ2 or HLA DQ8. It is not only unique among the, autoimmune diseases in that the precise trigger (gluten from wheat, rye and barley) has been identified, but also in that it has lent itself well to advancements in endoscopic imaging. Since its introduction, flexible endoscopy has allowed tissue to be collected from the small bowel with relative ease and safety, and recently has facilitated direct imaging and sampling of the entire small intestine. It is now fifty years since the Crosby capsule first allowed clinicians the ability to non-surgically biopsy the small bowel leading to an enhanced diagnosis of coeliac disease. The introduction of wireless video capsule endoscopy (VCE), small bowel enteroscopy and in particular double balloon enteroscopy (DBE), have expedited the accurate diagnosis of coeliac disease and its more serious complications such as small bowel adenocarcinoma, refractory coeliac disease type II (RCDII) and enteropathy associated T cell lymphoma (EATL). (C) 2012 Elsevier Ltd. All rights reserved.
Publisher: ELSEVIER SCI LTD
Keywords: Coeliac disease; Double balloon enteroscopy; Refractory coeliac disease; Adenocarcinoma; EATL
Research Division(s): Immunology
Publisher's Version: https://doi.org/10.1016/j.bpg.2012.03.004

Creation Date: 2012-06-01 12:00:00