Gastroenterology and Hepatology from Bed to Bench

Vol. 16 No. 2 (2023)

Deep-Dive Directions for Dietitians (DDDDs): a roadmap for the nutritional management of poorly responsive coeliac disease patients

Gastroenterology and Hepatology from Bed to Bench, Vol. 16 No. 2 (2023), 21 April 2023
https://doi.org/10.22037/ghfbb.v16i2.2807

Abstract

A substantial number of coeliac disease patients fail to respond to treatment with a gluten-free diet. Non-responsiveness might be multifactorial and the spectrum ranges from intentional or inadvertent gluten contamination as the main aetiology, to sensitivity to other nutrients (in addition to additives and preservatives). If the diagnosis of coeliac disease is correctly made and cross contamination and other factors have been excluded, then the aetiology behind the symptoms of a small group of coeliac patients might be refractory coeliac disease. The journey to ensure gluten contamination is not behind the persistent symptoms, is very challenging and requires in-depth training and skills. We therefore present potential guidance for the healthcare professional, in particular dietitians, on how to navigate these challenges on this journey.

Keywords:
  • Coeliac disease
  • non-responsive
  • gluten contamination
  • food sensitivity

How to Cite

Rostami, A., & Kollars, S. (2023). Deep-Dive Directions for Dietitians (DDDDs): a roadmap for the nutritional management of poorly responsive coeliac disease patients. Gastroenterology and Hepatology from Bed to Bench, 16(2). https://doi.org/10.22037/ghfbb.v16i2.2807

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