Sensibilidad no celíaca al gluten: Una patología más que responde al gluten

Remission of gastrointestinal and general symptoms after gluten withdrawal has been described in some non-celiac individuals for nearly 30 years. Only recently, efforts have been made to define this entity, now referred to as "non- celiac gluten sensitivity". It includes patients that clin...

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Autores principales: Navarro,Elizabeth, Araya,Magdalena
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2015
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500010
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spelling oai:scielo:S0034-988720150005000102018-10-31Sensibilidad no celíaca al gluten: Una patología más que responde al glutenNavarro,ElizabethAraya,Magdalena Celiac disease FODMAPs Irritable bowel syndrome Non-celiac gluten sensitivity Remission of gastrointestinal and general symptoms after gluten withdrawal has been described in some non-celiac individuals for nearly 30 years. Only recently, efforts have been made to define this entity, now referred to as "non- celiac gluten sensitivity". It includes patients that clinically respond to gluten free diet without exhibiting allergic or autoimmune features to explain such response. Wheat allergy, celiac disease, irritable bowel syndrome and symptoms induced by high FODMAPs (Fermentable, Oligo-, Di-, Mono-saccharides And Polyols) consumption are the main differential diagnoses. The relationship with neuropsychiatric disorders such as schizophrenia and autism has not been demonstrated, but currently it gives ground to great hope in families with affected children. Epidemiology of non-celiac gluten sensitivity is not clear. It is described as more common among women and less common in children. Genetic and immune factors, changes in intestinal microbiota and non-gluten components present in wheat grains are main factors postulated in the pathogenesis of this condition. To date, there are no specific biomarkers for non-celiac gluten sensitivity and diagnosis is reached by excluding other causes of disease. A trial with gluten-free diet and subsequent gluten challenge is the methodology most frequently used to confirm diagnosis.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.5 20152015-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500010es10.4067/S0034-98872015000500010
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Celiac disease
FODMAPs
Irritable bowel syndrome
Non-celiac gluten sensitivity
spellingShingle Celiac disease
FODMAPs
Irritable bowel syndrome
Non-celiac gluten sensitivity
Navarro,Elizabeth
Araya,Magdalena
Sensibilidad no celíaca al gluten: Una patología más que responde al gluten
description Remission of gastrointestinal and general symptoms after gluten withdrawal has been described in some non-celiac individuals for nearly 30 years. Only recently, efforts have been made to define this entity, now referred to as "non- celiac gluten sensitivity". It includes patients that clinically respond to gluten free diet without exhibiting allergic or autoimmune features to explain such response. Wheat allergy, celiac disease, irritable bowel syndrome and symptoms induced by high FODMAPs (Fermentable, Oligo-, Di-, Mono-saccharides And Polyols) consumption are the main differential diagnoses. The relationship with neuropsychiatric disorders such as schizophrenia and autism has not been demonstrated, but currently it gives ground to great hope in families with affected children. Epidemiology of non-celiac gluten sensitivity is not clear. It is described as more common among women and less common in children. Genetic and immune factors, changes in intestinal microbiota and non-gluten components present in wheat grains are main factors postulated in the pathogenesis of this condition. To date, there are no specific biomarkers for non-celiac gluten sensitivity and diagnosis is reached by excluding other causes of disease. A trial with gluten-free diet and subsequent gluten challenge is the methodology most frequently used to confirm diagnosis.
author Navarro,Elizabeth
Araya,Magdalena
author_facet Navarro,Elizabeth
Araya,Magdalena
author_sort Navarro,Elizabeth
title Sensibilidad no celíaca al gluten: Una patología más que responde al gluten
title_short Sensibilidad no celíaca al gluten: Una patología más que responde al gluten
title_full Sensibilidad no celíaca al gluten: Una patología más que responde al gluten
title_fullStr Sensibilidad no celíaca al gluten: Una patología más que responde al gluten
title_full_unstemmed Sensibilidad no celíaca al gluten: Una patología más que responde al gluten
title_sort sensibilidad no celíaca al gluten: una patología más que responde al gluten
publisher Sociedad Médica de Santiago
publishDate 2015
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500010
work_keys_str_mv AT navarroelizabeth sensibilidadnoceliacaalglutenunapatologiamasquerespondealgluten
AT arayamagdalena sensibilidadnoceliacaalglutenunapatologiamasquerespondealgluten
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