Celiac disease suspected at endoscopy in patients with chronic liver disease

  • Rakesh Kochhar
  • Usha Dutta
  • Amit Miglani
  • Suraj Bhagat
  • Kuchhangi Sureshchandra Poornachandra
  • Kim Vaiphei
  • Chander K. Nain
  • Kartar Singh
Short Report

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 

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Copyright information

© Indian Society of Gastroenterology 2011

Authors and Affiliations

  • Rakesh Kochhar
    • 1
  • Usha Dutta
    • 1
  • Amit Miglani
    • 1
  • Suraj Bhagat
    • 1
  • Kuchhangi Sureshchandra Poornachandra
    • 1
  • Kim Vaiphei
    • 2
  • Chander K. Nain
    • 1
  • Kartar Singh
    • 1
  1. 1.Department of GastroenterologyPostgraduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of Pathology Postgraduate Institute of Medical Education and ResearchChandigarhIndia

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