Review article
https://doi.org/10.26800/LV-144-supl1-8
Celiac disease – new guidelines, what is new? – diagnostic algorithm from Croatian Society for Pediatric Gastroenterology, Hepatology and Nutrition of the Croatian Medical Association
Zrinjka Mišak
; Referentni centar za dječju gastroenterologiju i prehranu, Klinika za dječje bolesti Zagreb, Zagreb, Hrvatska, Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska
Iva Hojsak
; Referentni centar za dječju gastroenterologiju i prehranu, Klinika za dječje bolesti Zagreb, Zagreb, Hrvatska 2 Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska, Medicinski fakultet Osijek, Sveučilište J.J. Strossmayer, Osijek
Ranka Despot
; Zavod za nefrologiju i gastroenterologiju, KBC Split, Medicinski fakultet Sveučilišta u Splitu
Oleg Jadrešin
; Referentni centar za dječju gastroenterologiju i prehranu, Klinika za dječje bolesti Zagreb, Zagreb, Hrvatska
Sanja Kolaček
; Referentni centar za dječju gastroenterologiju i prehranu, Klinika za dječje bolesti Zagreb, Zagreb, Hrvatska, Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska
Vlatka Konjik
; Medicinski fakultet u Osijeku, Sveučilište J.J. Strossmayer, Osijek, Hrvatska, Klinika za pedijatriju, KBC Osijek
Goran Palčevski
; Klinika za pedijatriju, KBC Rijeka, Medicinski fakultet Sveučilišta u Rijeci
Barbara Perše
; Klinika za pedijatriju, KBC Sestre milosrdnice, Zagreb, Hrvatska
Irena Senečić-Čala
; Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska, Klinika za pedijatriju, KBC Zagreb
Duška Tješić-Drinković
; Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska, Klinika za pedijatriju, KBC Zagreb
Jurica Vuković
; Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska, Klinika za pedijatriju, KBC Zagreb
Orjena Žaja
; Medicinski fakultet Sveučilišta u Splitu, Klinika za pedijatriju, KBC Sestre milosrdnice, Zagreb, Hrvatska, Stomatološki fakultet Sveučilišta u Zagrebu
Abstract
Introduction and aim: Celiac disease is immune mediated, chronic systemic disorder elicited by gluten and related prolamines in genetically susceptible individuals that is treated with strict, life-long gluten-free diet. It is one of the most common gastrointestinal and systemic diseases with the prevalence of 1%, but often, due to different clinical presentations, it is not recognized or diagnosed with delays, sometimes after several years of having symptoms. In order to identify patients earlier and to harmonize the diagnostic procedures, treatment and follow-up of children with celiac disease, the Croatian Medical Association, Croatian Society of Pediatric Gastroenterology, Hepatology and Nutrition (HDPGHP) decided to develop this algorithm. Methods: The algorithm is based on European guidelines, the knowledge gained from searching available scientific and clinical literature and on expert opinion of HDPGHP Board members. Conclusion: Timely recognition and diagnosis of celiac disease and proper treatment lead to the disappearance of symptoms and recovery of the child, prevents the development of complications and improves quality of life.
Keywords
CELIAC DISEASE, CHILDREN, BIOPSY, ANTIBODIES, GLUTEN-FREE DIET
Hrčak ID:
275697
URI
Publication date:
24.4.2022.
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