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J R Soc Med. 1986 April; 79(4): 206–209.
PMCID: PMC1290275

Dietary history and nutritional state in treated coeliac patients.

Abstract

The gluten content and nutritional adequacy of the diet of a group of adult coeliac patients supposedly following a gluten-free diet for at least one year were assessed. Results were considered in relation to the nutritional state of these patients, determined by anthropometric measurement, and the histological appearance of jejunal biopsies taken at the time of nutritional assessment. Imperfect gluten avoidance, mild malnutrition and mild histological abnormalities on jejunal biopsy were frequent findings. A careful dietary and nutritional assessment when considered in light of histological findings at jejunal biopsy helps to identify the causes of persisting symptoms or malnutrition in treated coeliac patients. A normal jejunal biopsy in a malnourished patient whose dietary compliance is good should prompt a search for an alternative diagnosis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • BENSON GD, KOWLESSAR OD, SLEISENGER MH. ADULT CELIAC DISEASE WITH EMPHASIS UPON RESPONSE TO THE GLUTEN-FREE DIET. Medicine (Baltimore) 1964 Jan;43:1–40. [PubMed]
  • MACDONALD WC, BRANDBORG LL, FLICK AL, TRIER JS, RUBIN CE. STUDIES OF CELIAC SPRUE. IV. THE RESPONSE OF THE WHOLE LENGTH OF THE SMALL BOWEL TO A GLUTEN-FREE DIET. Gastroenterology. 1964 Dec;47:573–589. [PubMed]
  • Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr. 1981 Nov;34(11):2540–2545. [PubMed]
  • Dissanayake AS, Truelove SC, Whitehead R. Jejunal mucosal recovery in coeliac disease in relation to the degree of adherence to a gluten-free diet. Q J Med. 1974 Apr;43(170):161–185. [PubMed]
  • Non-responsive coeliac disease. Br Med J. 1972 Sep 9;3(5827):624–631. [PMC free article] [PubMed]
  • A case of adult coeliac disease resistant to treatment. Br Med J. 1968 Jun 15;2(5606):678–684. [PMC free article] [PubMed]
  • Weinstein LD, Herskovic T. Rectal seepage of oil in a patient with celiac disease and secondary pancreatic insufficiency. Am J Dig Dis. 1968 Aug;13(8):762–765. [PubMed]
  • Regan PT, DiMagno EP. Exocrine pancreatic insufficiency in celiac sprue: a cause of treatment failure. Gastroenterology. 1980 Mar;78(3):484–487. [PubMed]
  • Collins JP, McCarthy ID, Hill GL. Assessment of protein nutrition in surgical patients--the value of anthropometrics. Am J Clin Nutr. 1979 Jul;32(7):1527–1530. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press