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[Celiac disease: descriptive study at the Anglo American clinic]. / Enfermedad celiaca: estudio descriptivo en la clínica Anglo Americana.
Llanos, O; Matzumura, M; Tagle, M; Huerta-Mercado, J; Cedrón, H; Scavino, J; Luna, E.
Afiliação
  • Llanos O; Médico Asistente del Servicio de Medicina Interna de la Clínica Anglo Americana. racsollanos@hotmail.com
Rev Gastroenterol Peru ; 32(2): 134-40, 2012.
Article em Es | MEDLINE | ID: mdl-23023175
BACKGROUND: Celiac disease (CD) is a condition in which gluten intake develops an autoimmune response generating intestinal villous atrophy, causing malabsorption. Prevalence worldwide is approximately 1%, in our country it is not known. MATERIAL AND METHODS: Retrospective, descriptive, observational study in Anglo American Clinic between September 2004 and February 2012. We reviewed the medical charts, upper GI endoscopy reports and duodenal biopsy reports of all patients with positive anti TTG results, who were older than 18 years of age. RESULTS: We studied 39 cases, 26 (66.7%) women and 13 (33.3%) men. Mean age was 61.25 years. The symptoms were chronic diarrhea in 32 (82.1%), abdominal pain in 22 (56.4%), abdominal distention in 14 (35.9%), and others in lower frequency. Eight (20.5%) patients had anemia. Just 5 (12.8%) had upper endoscopy findings consistent with CD, and Marsh classification was: 0: 5 (12.7%), I: 1 (2.6%), II: 0 (0%), IIII A: 20 (51.3%), III B: 12 (30.8%) y III C: 1 (2.6%). CONCLUSIONS: CD should be considered as a differential diagnosis of patients with non-specific long-term gastrointestinal symptoms, extraintestinal symptoms should also be taken into account. Diagnosis should be made with anti TTG as the initial test and posteriorly with a duodenal biopsy for staging.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença Celíaca Tipo de estudo: Diagnostic_studies / Evaluation_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: Es Revista: Rev Gastroenterol Peru Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2012 Tipo de documento: Article País de publicação: Peru
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença Celíaca Tipo de estudo: Diagnostic_studies / Evaluation_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: Es Revista: Rev Gastroenterol Peru Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2012 Tipo de documento: Article País de publicação: Peru