Villous atrophy in celiac disease: striking differences in endoscopic findings between the duodenal bulb and descending duodenum

Green PHR, Cellier C. Celiac disease. N Engl J Med. 2007;357:1731–43.

Article  CAS  PubMed  Google Scholar 

Dickey W. Endoscopic markers for celiac disease. Nat Clin Pract Gastroenterol Hepatol. 2006;3:546–51.

Article  PubMed  Google Scholar 

Oxentenko AS, Grisolano SW, Murray JA, et al. The insensitivity of endoscopic markers in celiac disease. Am J Gastroenterol. 2002;97:933–8.

Article  PubMed  Google Scholar 

Rubio-Tapia A, Hill ID, Semrad C, et al. American College of Gastroenterology guidelines update: diagnosis and management of celiac disease. Am J Gastroenterol. 2023;118:59–76.

Article  CAS  PubMed  Google Scholar 

Oberhuber G, Granditsch G, Vogelsang H. The histopathology of coeliac disease: time for a standardized report scheme for pathologists. Eur J Gastroenterol Hepatol. 1999;11:1185–94.

Article  CAS  PubMed  Google Scholar 

Lo A, Guelrud M, Essenfeld H, et al. Classification of villous atrophy with enhanced magnification endoscopy in patients with celiac disease and tropical sprue. Gastrointest Endosc. 2007;66:377–82.

Article  PubMed  Google Scholar 

Iovino P, Pascariello A, Russo I, et al. Difficult diagnosis of celiac disease: diagnostic accuracy and utility of chromo-zoom endoscopy. Gastrointest Endosc. 2013;77:233–40.

Article  PubMed  Google Scholar 

Gulati S, Emmanuel A, Ong M, et al. Near-focus narrow-band imaging classification of villous atrophy in suspected celiac disease: development and international validation. Gastrointest Endosc. 2021;94:1071–81.

Article  PubMed  Google Scholar 

Kushima R, Manabe R, Hattori T, et al. Histogenesis of gastric foveolar metaplasia following duodenal ulcer: a definite reparative lineage of Brunner’s gland. Histopathology. 1999;35:38–43.

Article  CAS  PubMed  Google Scholar 

Heikkinen M, Pikkarainen P, Vornanen M, et al. Prevalence of gastric metaplasia in the duodenal bulb is low in Helicobacter pylori positive non-ulcer dyspepsia patients. Dig Liver Dis. 2001;33:459–63.

Article  CAS  PubMed  Google Scholar 

Urakami Y, Sano T. Endoscopic duodenitis, gastric metaplasia and Helicobacter pylori. J Gastroenterol Hepatol. 2001;16:513–8.

Article  CAS  PubMed  Google Scholar 

Voutilainen M, Juhola M, Färkkilä M, et al. Gastric metaplasia and chronic inflammation at the duodenal bulb mucosa. Dig Liver Dis. 2003;35:94–8.

Article  CAS  PubMed  Google Scholar 

Ludvigsson JF, Bai JC, Biagi F, et al. Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology. Gut. 2014;63:1210–28.

Article  PubMed  Google Scholar 

McCarty TR, O’Brien CR, Gremida A, et al. Efficacy of duodenal bulb biopsy for diagnosis of celiac disease: a systematic review and meta-analysis. Endosc Int Open. 2018;6:E1369–78.

Article  PubMed  PubMed Central  Google Scholar 

Gonzalez S, Gupta A, Cheng J, et al. Prospective study of the role of duodenal bulb biopsies in the diagnosis of celiac disease. Gastrointest Endosc. 2010;72:758–65.

Article  PubMed  Google Scholar 

Raju SA, Greenaway EA, Schiepatti A, et al. New entity of adult ultra-short coeliac disease: the first international cohort and case-control study. Gut. 2024;73:1124–30.

Article  PubMed  Google Scholar 

Taavela J, Popp A, Korponay-Szabo IR, et al. A prospective study on the usefulness of duodenal bulb biopsies in celiac disease diagnosis in children: urging caution. Am J Gastroenterol. 2016;111:124–33.

Article  CAS  PubMed  Google Scholar 

DeGaetani M, Tennyson CA, Lebwohl B, et al. Villous atrophy and negative celiac serology: A diagnostic and therapeutic dilemma. Am J Gastroenterol. 2013;108:647–53.

Article  CAS  PubMed  Google Scholar 

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