medigraphic.com
ISSN 1028-4818 (Electronic)

2020, Number 4

<< Back Next >>

Mul Med 2020; 24 (4)

Celiac disease in adulto. A challenge in the new millennium

Brizuela LO, Villadoniga RC, Santisteban SHN, Soler OJA

Language: Spanish
References: 20
Page: 949-968
PDF size: 334.92 Kb.


ABSTRACT

Celiac disease is an autoimmune condition caused by permanent food intolerance to gluten and genetic prolamins. One of the problems of this disease in the adult is the infra diagnosis, since for each case diagnosed there is an average of five cases without diagnosis, due to the atypical, minimal, or even absent symptomatology. Therefore, a review of the subject is carried out with the objective of describing celiac disease in adults and providing elements for diagnosis in patients with suggestive symptoms. To obtain the information, a search was made in bibliographic databases of scientific literature of the VHL of Cuba as PubMed / Medline and Lilacs. Some sources of information available in full text such as ClinicalKey, Cochrane Library, Ebsco and SciELO Cuba were also consulted. An internet search was also carried out on portals of institutions of recognized prestige in the healthcare field such as the World Gastroenterolog and Organization, National Institute of Gastroenterology of Cuba, official documents of the World Health Organization, among others and the conclusion was reached that Celiac Disease requires a high index of clinical suspicion, The diagnosis must be based on the presence of any or several symptoms related to intestinal involvement or any of the associated organs or systems, in Cuba there are epidemiological data of the disease in adults, so it is necessary to implement a protocol for the diagnosis of these patients, because the delay or absence in the diagnosis has consequences for the health of the individual.


REFERENCES

  1. Heredia C, Castro F, Palma J. Enfermedad celíaca del adulto. Rev Med Chile 2007; 135: 1186-94.

  2. Zhu J, Mulder CJ, Dieleman LA. Celiac Disease: Against the Grain in Gastroenterology. J Canadian Association Gastroent 2019; 2(4): 161–9.

  3. Castañeda Guillot C. Enfermedad celíaca en Cuba y sus cuarenta años de experiencias y realidades para su diagnóstico. Rev Cubana Pediatr [Internet]. 2016 [citado 17/2/2019]; 88(4). Disponible en: http://www.revpediatria.sld.cu/index.php/ped/article/view/126/70

  4. Cerda Contreras E. Enfermedad celíaca: bases moleculares y clínicas. Rev Gastroenterol Mex Rev Gastroenterol Méx 2010; 75(S2): 181-4.

  5. Parzanese I, Qehajaj D, Patrinicola F, Aralica M, Chiriva Internati M, Stifter S, et al. Celiac disease: From pathophysiology to treatment. World J Gastrointest Pathophysiol 2017; 8(2): 27–38.

  6. Moscoso F, Quera R. Enfermedad celíaca. Rev Med Chile 2016; 144: 211-21.

  7. Tye Din JA, Galipeau HJ, Agardh D. Celiac Disease: A Review of Current Concepts in Pathogenesis, Prevention, and Novel Therapies. Front Pediatr 2018; 6: 350-69.

  8. Santana Porbén S. La epidemiología de la enfermedad celíaca en Cuba. Rev Cubana Aliment Nutr 2010; 20(2 Supl 1): S20.

  9. Freeman HJ. Role of biopsy in diagnosis and treatment of adult celiac disease. Gastroenterol Hepatol Bed Bench 2018; 11(3): 191-6.

  10. Organización Mundial de Gastroenterología. Enfermedad celíaca: guías mundiales de la Organización Mundial de Gastroenterología. [Internet]. Milwaukee, WI: MGO; 2016. [citado 17 Jul 2019]. Disponible en: https://www.worldgastroenterology.org/guidelines/global-guidelines/celiac-disease/celiac-disease-spanish

  11. Cobos Quevedo OJ, Hernández Hernández GA, Remes Troche JM. Trastornos relacionados con el gluten: panorama actual. Med Int Méx 2017; 33(4): 487-502.

  12. Real Delor RE. Actualización en el diagnóstico de la enfermedad celiaca. An Fac Med 2016; 77(4): 397-402.

  13. Frossi B, De Carli M, Calabró A. Coeliac Disease and Mast Cells. Int J Mol Sci 2019; 20(14): 3400.

  14. Rocha S, Gandolfi L, Santos JE. The psychosocial impacts caused by diagnosis and treatment of Coeliac Disease. Rev Esc Enferm USP 2016; 50: 65-70.

  15. Costa AF, Sugai E, de la Paz Temprano M, Niveloni SI, Vázquez H, Moreno ML, et al. Gluten immunogenic peptide excretion detects dietary transgressions in treated celiac disease patients. World J Gastroenterol 2019; 25(11): 1409–1420.

  16. La Rosa Hernández D, Crespo Venega M, Del Valle Rivera L, Sánchez Castañeda N. Estado inmunonutricional de adultos celíacos atendidos en el Instituto de Gastroenterología, 2016-2017. Rev haban cienc méd 2018; 17(2): 201-213.

  17. Casellas F, Burgos R, Ascensión M, Santos J, Ciriza de Los Ríos C, García Manzanares Á, et al. Documento de consenso sobre las dietas de exclusión en el síndrome del intestino irritable (SII). Rev esp enferm dig 2018; 110(12): 806-824.

  18. Bledsoe AC, King KS, Larson JL, Snyder M, Absah I, Choung RS, et al. Micronutrient Deficiencies Are Common in Contemporary Celiac Disease Despite Lackof Overt Malabsorption Symptoms. In Mayo Clinic Proceedings 2019; 94(7): 1253-1260.

  19. Piscoya Moncada JM, Gálvez Villacorta GV. Positividad anticuerpo antitransglutaminasa tisular humana en adultos histológicamente compatibles con enfermedad celíaca. Rev Gastroenterol Perú 2014; 34(3): 189-194.

  20. Caio G, Volta U, Sapone A, Leffler DA, De Giorgio R, Catassi C, et al. Celiac disease: a comprehensive current review. BMC Medicine 2019; 17: 1-20.




2020     |     www.medigraphic.com