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2015, Number 2

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Med Sur 2015; 22 (2)

Prevalencia de la enfermedad celíaca en una población mexicana

Aguilar-Olivos NE, Motola-Kuba M, Toapanta-Yanchapaxi L, Lavenant-Borja I, Uribe M, Lizardi-Cervera J

Language: Spanish
References: 19
Page: 64-69
PDF size: 144.34 Kb.


ABSTRACT

Background. Celiac disease (CD) is an immune-based systemic disease characterized by intolerance to gluten. Mainly manifested by diarrhea, weight loss and malabsorption. Diagnosis depends on the symptoms, serology and findings of the proximal small bowel biopsy. The worldwide prevalence has been reported in approximately 1%. Aim. To describe the prevalence of celiac disease in a Mexican population. Material and methods. Transversal study from January 2009 to June 2011 in Mexico City. In symptomatic patients were collected serological results for CD and later the search of histopathological records was conducted, focused on duodenal biopsy compatible with CD. The prevalence of CD, defined as the presence of symptoms, serology and histology compatible with CD, were obtained by descriptive statistics. Results. There were 230 serological testing for CD, of which 24 had elevated levels of any of the markers for CD. In this group, only six patients had duodenal biopsy and five were compatible with CD, so that the prevalence of CD was 2.17%. Conclusions. The prevalence of active celiac disease in the Mexican population studied was higher than the overall worldwide prevalence reported.


REFERENCES

  1. Walker-Smith J, Guandalini S, Schmitz J, Shmerling D, Visakorpi J. Revised criteria for diagnosis of coeliac disease. Report of Working Group of European Society of Paediatric Gastroenterology and Nutrition. Arch Dis Child 1990; 65: 909-11.

  2. Rostom A, Murray JA, Kagnoff MF. American Gastroenterological Association (AGA) Institute technical review on the diagnosis and management of celiac disease. Gastroenterology 2006; 131: 1981-2002.

  3. Villanacci V, Ceppa P, Tavani E, Vindigni C, Volta U. Coeliac disease: the histology report. Dig Liver Dis 2011; 43: S385-S395.

  4. Rewers M. Epidemiology of celiac disease: what are the prevalence, incidence, and progression of celiac disease? Gastroenterology 2005; 128: S47-S51.

  5. Freeman HJ, Chopra A, Clandinin MT, Thomson AB. Recent advances in celiac disease. World J Gastroenterol 2011; 17: 2259-72.

  6. Kakar S, Nehra V, Murray JA, Dayharsh GA, Burgart LJ. Significance of intraepithelial lymphocytosis in small bowel biopsy samples with normal mucosal architecture. Am J Gastroenterol 2003; 98: 2027-33.

  7. Israeli E, Hershcovici T, Grotto I, Rouach Z, Branski D, Goldin E. Prevalence of celiac disease in an adult Jewish population in Israel. The Israel Medical Association journal. Isr Med Assoc J 2010; 12: 266-9.

  8. Gandolfi L, Pratesi R, Cordoba JC, Tauil PL, Gasparin M, Catassi C. Prevalence of celiac disease among blood donors in Brazil. Am J Gastroenterol 2000; 95: 689-92.

  9. Antonioli DA. Celiac disease: a progress report. Mod Pathol 2003; 16: 342-6.

  10. Dewar DH, Ciclitira PJ. Clinical features and diagnosis of celiac disease. Gastroenterology 2005; 128: S19-S24.

  11. Leffler DA, Schuppan D. Update on serologic testing in celiac disease. Am J Gastroenterol 2010; 105: 2520-4.

  12. Rostom A, Dubé C, Cranney A, Saloojee N, Sy R, Garritty C, Sampson M, et al. Celiac disease. Evid Rep Technol Assess (Summ) 2004; 104: 1-6.

  13. Tommasini A, Not T, Ventura A. Ages of celiac disease: from changing environment to improved diagnostics. World J Gastroenterol 2011; 17: 3665-71.

  14. Lionetti E, Catassi C. New clues in celiac disease epidemiology, pathogenesis, clinical manifestations, and treatment. Int Rev Immunol 2011; 30: 219-31.

  15. Collin P, Helin H, Maki M, Hallstrom O, Karvonen AL. Follow-up of patients positive in reticulin and gliadin antibody tests with normal small-bowel biopsy findings. Scand J Gastroenterol 1993; 28: 595-8.

  16. Troncone R. Latent celiac disease in Italy. The SIGEP Working Group on Latent Coeliac Disease. Italian Society for Paediatric Gastroenterology and Hepatology. Acta Paediatr 1995; 84: 1252-7.

  17. Walker MM, Murray JA, Ronkainen J, Aro P, Storskrubb T, D’Amato M, Lahr B, et al. Detection of celiac disease and lymphocytic enteropathy by parallel serology and histopathology in a population-based study. Gastroenterology 2010; 139: 112-9.

  18. Akbari MR, Mohammadkhani A, Fakheri H, Javad Zahedi M, Shahbazkhani B, Nouraie M, Sotoudeh M, et al. Screening of the adult population in Iran for coeliac disease: comparison of the tissue-transglutaminase antibody and anti-endomysial antibody tests. Eur J Gastroenterol Hepatol 2006; 18: 1181-6.

  19. Gomez JC, Selvaggio GS, Viola M, Pizarro B, la Motta G, de Barrio S, Castelletto R, et al. Prevalence of celiac disease in Argentina: screening of an adult population in the La Plata area. Am J Gastroenterol 2001; 96: 2700-4




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