Short Report

Indian Journal of Gastroenterology

, Volume 30, Issue 4, pp 166-169

Celiac disease suspected at endoscopy in patients with chronic liver disease

  • Rakesh KochharAffiliated withDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research
  • , Usha DuttaAffiliated withDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research
  • , Amit MiglaniAffiliated withDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research
  • , Suraj BhagatAffiliated withDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research
  • , Kuchhangi Sureshchandra PoornachandraAffiliated withDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research
  • , Kim VaipheiAffiliated withDepartment of Pathology Postgraduate Institute of Medical Education and Research
  • , Chander K. NainAffiliated withDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research
  • , Kartar SinghAffiliated withDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research

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Abstract

Endoscopic findings of celiac disease have high specificity and sensitivity. We evaluated records of 137 consecutive patients who had endotherapy for variceal hemorrhage, and who had features of celiac disease at endoscopy; patients who had such markers at endoscopy had undergone duodenal histology and serology. Thirty-one patients had changes of portal hypertensive vasculopathy in the duodenum, 8 had scalloping, and 6 had mosaic pattern; 3 patients also had decreased fold height or sparse folds in the descending duodenum. Six of these 8 patients had positive serology and histology suggestive of celiac disease. Endoscopic evaluation resulted in diagnosis of CD in 4.37% patients of chronic liver disease undergoing endotherapy.

Keywords

Celiac sprue Cirrhosis Gluten enteropathy