Celiac Disease with Dr. Amy Oxentenko features Dr. Amy Oxentenko, Chair of Medicine at Mayo Clinic AZ. The podcast discusses recognizing both classic and non-classical features of celiac disease, diagnostic testing, management, and proper patient follow-up. The episode also covers non-celiac gluten sensitivity and considerations for atypical celiac patients. Dr. Oxentenko provides valuable insights while keeping the conversation engaging and informative.
Celiac disease affects approximately 1% of the population and presents with a broad spectrum of classic and non-classic features.
The diagnostic approach for celiac disease involves screening with specific antibodies and biopsies for confirmation, followed by a gluten-free diet and appropriate follow-up care.
Deep dives
Summary of Podcast Episode: Celiac Disease
Celiac disease is discussed in this podcast episode. The main points covered include the symptoms and clinical features of celiac disease, the importance of serologic testing for diagnosis, the need for a gluten-free diet as the primary treatment, and the monitoring and follow-up care for patients with celiac disease. The podcast also mentions the potential comorbidities and complications associated with celiac disease, such as autoimmune thyroid disease and intestinal lymphoma. The importance of family screening and the role of a dietician in guiding patients on a gluten-free diet are highlighted as well.
Key Point 1: Celiac disease is common and should be evaluated with a low threshold
Celiac disease affects approximately 1% of the population and presents with a broad spectrum of classic and non-classic features. Clinicians should have a low threshold to screen for celiac disease in their practice.
Key Point 2: Diagnostic approach and management
The diagnostic approach for celiac disease involves screening with IgA tissue transglutaminase antibody and immunoglobulin IgA level. Biopsies are warranted for positive serology or compelling clinical features. Once diagnosed, patients should follow a gluten-free diet with the guidance of a dietitian, undergo appropriate follow-up, and consider screenings for family members. Despite the challenges, celiac disease is a treatable condition that can significantly improve with dietary modifications.
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Tighten up your glute-n facts!
Take control of celiac disease (CD) with gastroenterologist, Dr. Amy Oxentenko (Chair of Medicine at Mayo Clinic AZ, @AmyOxentenkoMD). Learn how to recognize both classic and non-classical features of CD and understand diagnostic testing, management and proper follow-up for patients.