No-biopsy strategy for coeliac disease is applicable in adult patients: a 'real-world' Scottish experience.
Aoisha HoylePeter GillettHelen R GillettReuben BorgSteven NottleySamantha FarrowMaha ElgoweiniMohamed ElhassanJonathan FletcherGemma WhannelEdel GracieSarah MorganHasnain JafferbhoyLaura DunbarGordon ReidEmma L MetcalfeGraeme SmithSarah HarrisCalum RobertsonMoira ThomasHazel YoungerElizabeth FurriePublished in: Frontline gastroenterology (2022)
Our results show that a no-biopsy strategy using a cut-off of TGA-IgA ≥10× ULN is safe to diagnose CD and that no important pathology would be missed. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition 2020 and BSG COVID-19 interim guidelines are applicable to adult patients in Scotland.