n South African Gastroenterology Review - Coeliac disease : review

Volume 12, Issue 1
  • ISSN : 1812-1659



The management of patients who have been diagnosed with coeliac disease and do not show a satisfactory response on a gluten free diet represents a treatment challenge to the physician.

It is not only the decreased quality of life that these patients experience with chronic fatigue, malabsorption and nutrient deficiencies, but also the well-recognised complications of long term untreated coeliac disease such as osteoporosis and increased fracture risk, infertility, increased risk of malignancy and increased risk of other auto-immune diseases that compel us to seek answers and find successful treatment strategies for these patients.

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