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Minerva Gastroenterologica e Dietologica 2015 December;61(4):267-71

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

Celiac disease, non-celiac gluten sensitivity and inflammatory bowel disease

Casella G. 1, Di Bella C. 2, Salemme M. 3, Villanacci V. 3, Antonelli E. 4, Baldini V. 5, Bassotti G. 6

1 Gastroenterology and Hepatology Unit, Medical Department, Desio Hospital, Desio, Monza e Brianza, Italy; 2 Pathology Department, Desio Hospital, Desio, Monza e Brianza, Italy; 3 Institute of Pathology, “Spedali Civili” Brescia, Brescia, Italy; 4 Gastro‑Intestinal Unit, Perugia General Hospital, Perugia, Italy; 5 Medical Department, Desio Hospital, Desio, Monza e Brianza, Italy; 6 Gastro‑Intestinal and Hepatology Section, Department of Medicine, University of Perugia Medical School, Perugia, Italy


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Celiac disease (CD) and inflammatory bowel disease (IBD), such as Crohn’s disease (CrD) and ulcerative colitis (UC), are chronic inflammatory condition of the gastro-intestinal tract. The prevalence of IBD in celiac patients has been reported as 5-10 times higher than in the general population. The possibility of the presence of CD in IBD should be considered in IBD patients with long-term iron deficiency anemia (IDA) not responsive to iron supplementation. Non-celiac gluten sensitivity (NCGS) is characterized by intestinal and extra intestinal symptoms due to the ingestion of gluten-containing food in subject without CD and/or wheat allergy. Patients with Crohn’s disease and SR-NCGS were more significantly affected by joint pains compared to UC patients (50% versus 11.1%). In Crohn’s patients, a higher percentage of fatigue (50% versus 38.9%) and headache (27.3% versus 22.2%) was evident. For the association between NCGS and IBD new studies are warranted and, at this moment, a gluten free diet (GFD) may be useful more in CrD than in UC.

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