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Hill PG, Holmes GK. Coeliac disease: a biopsy is not always necessary for diagnosis. Aliment Pharmacol Ther 2008; 27:572-577.

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Nutrition in Celiac Disease

1Department of Internal Medicine, Thomayer´s Hospital, Prague, Czech Republic

International Journal of Celiac Disease. 2014, Vol. 2 No. 3, 115-117
DOI: 10.12691/ijcd-2-3-2
Copyright © 2014 Science and Education Publishing

Cite this paper:
Pavel Kohout. Nutrition in Celiac Disease. International Journal of Celiac Disease. 2014; 2(3):115-117. doi: 10.12691/ijcd-2-3-2.

Correspondence to: Pavel  Kohout, Department of Internal Medicine, Thomayer´s Hospital, Prague, Czech Republic. Email: pavel.kohout@ftn.czl


Nutrition plays a key role in patients with celiac disease. Gluten-free diet is main therapeutic option despite of new possibilities keeping the intestinal barrier, modulation of gut microbiome or extraction of gluten from the diet. The prevention of formation the autoimmune reaction against gluten in genetically predisposed patients is the addition of small amount of gluten-rich food during breastfeeding between 4th and 7th months of life. The possible prevention at a later age could include the keeping of gluten-free diet during stress-induced damage of intestinal barrier and/or the influence of gut microbiom using probiotics.Gluten-free diet become to be new phenomenon, new strategy for non-celiac population despite of absency of proven benefits for them. There are defined new clinical entities of gluten intolerance, especially non-celiac gluten sensitivity, but its differentiation from irritable bowel syndrome is very difficult. This issue will require further research.