Cited by 109Celiac Disease Research and ManagementEosinophilic EsophagitisGastrointestinal motility and disorders

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Celiac Disease Symptom Resolution: Effectiveness of the Gluten‐free Diet

Sansotta, Naire, Amirikian, Karine, Guandalini, Stefano, Jericho, Hilary·2018·Journal of Pediatric Gastroenterology and Nutrition

DOI 10.1097/mpg.0000000000001634

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Abstract

Objective The aim of the study was to evaluate the efficacy of the gluten-free diet (GFD) on gastrointestinal (GI) and extra-intestinal (EI) symptom resolution and identify predictors for persistence of symptoms in all celiac patients at the University of Chicago. Methods We conducted a retrospective chart review from 2002 to 2015. GI symptoms included abdominal pain, bloating, constipation, diarrhea, failure to thrive/weight loss, nausea, reflux, and vomiting. EI symptoms included abnormal liver enzymes, arthralgia/arthritis, dermatitis herpetiformis, alopecia, fatigue, headache, anemia, stomatitis, myalgia, psychiatric disorders, rashes, seizures, neuropathy, short stature, delayed puberty, osteoporosis, and infertility. Results A total of 554 patients (227 children) with celiac disease (CeD) were included. Abdominal pain, diarrhea and failure to thrive were the most common GI symptoms in children whereas diarrhea, bloating, and abdominal pain were most common in adults. Short stature, fatigue, and headache were the most common EI symptoms in children whereas iron deficiency anemia, fatigue, and headache/psychiatric disorders were most common in adults. Children had significantly higher rates of EI and GI symptom resolution as compared to adults, with greater rates of improvements in GI versus EI symptoms at more than 24 months. Long duration of symptoms, female sex, and non-adherence to a GFD were the most important significant predictors of failure to clinically improve.…

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Authors: Sansotta, N., Amirikian, K., Guandalini, S., & Jericho, H.
Affiliations: University of Verona (IT)
University of Chicago (US)
Corresponding author: Sansotta, Naire
ORCID: Sansotta, Naire
Guandalini, Stefano
Jericho, Hilary
Venue: Journal of Pediatric Gastroenterology and Nutrition
Publisher: Wiley
Published: 2018-01
Volume: 66
Issue: 1
Pages: 48-52
ISSN: 0277-2116 (ISSN-L)
1536-4801
DOI: 10.1097/mpg.0000000000001634
OpenAlex: W2614531184
Cited by: 109
References: 21
Citations by year: 2026: 5 · 2025: 16 · 2024: 19 · 2023: 14 · 2022: 12 · 2021: 9 · 2020: 13 · 2019: 12 · 2018: 8
FWCI: 9.75
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Pediatric Gastroenterology and Nutrition (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
Health Sciences › Medicine › Gastroenterology › Eosinophilic Esophagitis
Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords: celiac disease, gluten-free diet, symptom resolution, gastrointestinal symptoms, extraintestinal manifestations, pediatric celiac disease, adult celiac disease, dietary adherence, iron deficiency anemia, short stature, failure to thrive, abdominal pain
MeSH terms: Adolescent, Celiac Disease, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Infant, Male, Patient Compliance, Retrospective Studies, Treatment Outcome, Diet, Gluten-Free

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Celiac Disease Symptom Resolution: Effectiveness of the Gluten‐free Diet

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