Focus
Ancora biopsia? Forse sė!
IS THE BIOPSY NECESSARY? ARGUMENTS IN SUPPORT
S. Martelossi
Settembre 2005 - pagg. 440 -455
Abstract
Usually the diagnosis of celiac disease is an easy task, thanks to the availability of good serology
tests and to the intestinal biopsy, which represents a precious chance of looking at
the gluten toxicity right in the gut. Although the significant improvement in the research
field, biopsy is still required by the international protocol, in particular according to the
ESPGHAN criteria. Intestinal biopsy offers the advantage of avoiding the gluten challenge
and of promoting a better diet compliance, by giving a certain diagnosis. Moreover the
biopsy can be useful in denying those cases in which a wrong diagnosis of celiac disease
was put.
Parole chiave
Classificazione MeSH
Bibliografia
1. Vjero K, Martucci S, Alvisi C, et al. Defining
a proper setting for endoscopy for coeliac
disease. Eur J Gastroenterol Hepatol
2003;15(6):675-8.
2. Clemente MG, Musu MP, Frau F, et al. Immune reaction against the cytoskeleton in celiac disease. Gut 2000;47:520-6.
3. Lee SK, Lo W, Memeo L, et al. Duodenal histology in patient with celiac disease after treatment with a gluten-free diet. Gastrointest Endosc 2003;57(2):187-91.
4. Tommasini A, Not T, Kiren V, et al. Mass screening for celiac disease using antihuman transglutaminase antibody assay. Arch Dis Child 2004;89:512-5.
2. Clemente MG, Musu MP, Frau F, et al. Immune reaction against the cytoskeleton in celiac disease. Gut 2000;47:520-6.
3. Lee SK, Lo W, Memeo L, et al. Duodenal histology in patient with celiac disease after treatment with a gluten-free diet. Gastrointest Endosc 2003;57(2):187-91.
4. Tommasini A, Not T, Kiren V, et al. Mass screening for celiac disease using antihuman transglutaminase antibody assay. Arch Dis Child 2004;89:512-5.
