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Managing the pediatric patient with celiac disease: a multidisciplinary approach

Celiac disease (CD) is an autoimmune reaction to gluten, leading to intestinal inflammation, villous atrophy, and malabsorption. It is the most common autoimmune gastrointestinal disorder, with an increasing prevalence. A life-long gluten-free diet (GFD) is an effective treatment to alleviate sympto...

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Detalles Bibliográficos
Autores principales: Isaac, Daniela Migliarese, Wu, Jessica, Mager, Diana R, Turner, Justine M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5067051/
https://www.ncbi.nlm.nih.gov/pubmed/27785047
http://dx.doi.org/10.2147/JMDH.S95323
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author Isaac, Daniela Migliarese
Wu, Jessica
Mager, Diana R
Turner, Justine M
author_facet Isaac, Daniela Migliarese
Wu, Jessica
Mager, Diana R
Turner, Justine M
author_sort Isaac, Daniela Migliarese
collection PubMed
description Celiac disease (CD) is an autoimmune reaction to gluten, leading to intestinal inflammation, villous atrophy, and malabsorption. It is the most common autoimmune gastrointestinal disorder, with an increasing prevalence. A life-long gluten-free diet (GFD) is an effective treatment to alleviate symptoms, normalize autoantibodies, and heal the intestinal mucosa in patients with CD. Poorly controlled CD poses a significant concern for ongoing malabsorption, growth restriction, and the long-term concern of intestinal lymphoma. Achieving GFD compliance and long-term disease control poses a challenge, with adolescents at particular risk for high rates of noncompliance. Attention has turned toward innovative management strategies to improve adherence and achieve better disease control. One such strategy is the development of multidisciplinary clinic approach, and CD is a complex life-long disease state that would benefit from a multifaceted team approach as recognized by multiple national and international bodies, including the National Institutes of Health. Utilizing the combined efforts of the pediatric gastroenterologist, registered dietitian, registered nurse, and primary care provider (general practitioner or general pediatrician) in a CD multidisciplinary clinic model will be of benefit for patients and families in optimizing diagnosis, provision of GFD teaching, and long-term adherence to a GFD. This paper discusses the benefits and proposed structure for multidisciplinary care in improving management of CD.
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spelling pubmed-50670512016-10-26 Managing the pediatric patient with celiac disease: a multidisciplinary approach Isaac, Daniela Migliarese Wu, Jessica Mager, Diana R Turner, Justine M J Multidiscip Healthc Review Celiac disease (CD) is an autoimmune reaction to gluten, leading to intestinal inflammation, villous atrophy, and malabsorption. It is the most common autoimmune gastrointestinal disorder, with an increasing prevalence. A life-long gluten-free diet (GFD) is an effective treatment to alleviate symptoms, normalize autoantibodies, and heal the intestinal mucosa in patients with CD. Poorly controlled CD poses a significant concern for ongoing malabsorption, growth restriction, and the long-term concern of intestinal lymphoma. Achieving GFD compliance and long-term disease control poses a challenge, with adolescents at particular risk for high rates of noncompliance. Attention has turned toward innovative management strategies to improve adherence and achieve better disease control. One such strategy is the development of multidisciplinary clinic approach, and CD is a complex life-long disease state that would benefit from a multifaceted team approach as recognized by multiple national and international bodies, including the National Institutes of Health. Utilizing the combined efforts of the pediatric gastroenterologist, registered dietitian, registered nurse, and primary care provider (general practitioner or general pediatrician) in a CD multidisciplinary clinic model will be of benefit for patients and families in optimizing diagnosis, provision of GFD teaching, and long-term adherence to a GFD. This paper discusses the benefits and proposed structure for multidisciplinary care in improving management of CD. Dove Medical Press 2016-10-13 /pmc/articles/PMC5067051/ /pubmed/27785047 http://dx.doi.org/10.2147/JMDH.S95323 Text en © 2016 Isaac et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Isaac, Daniela Migliarese
Wu, Jessica
Mager, Diana R
Turner, Justine M
Managing the pediatric patient with celiac disease: a multidisciplinary approach
title Managing the pediatric patient with celiac disease: a multidisciplinary approach
title_full Managing the pediatric patient with celiac disease: a multidisciplinary approach
title_fullStr Managing the pediatric patient with celiac disease: a multidisciplinary approach
title_full_unstemmed Managing the pediatric patient with celiac disease: a multidisciplinary approach
title_short Managing the pediatric patient with celiac disease: a multidisciplinary approach
title_sort managing the pediatric patient with celiac disease: a multidisciplinary approach
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5067051/
https://www.ncbi.nlm.nih.gov/pubmed/27785047
http://dx.doi.org/10.2147/JMDH.S95323
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