Publications by authors named "J D Butzner"
Background: Appropriate interpretation of a positive celiac antibody test by an ordering physician is important in order to institute proper management. We evaluated why children with an initial positive celiac serology were not referred for diagnostic biopsy or followed with serial testing by the ordering physician.
Methods: Consecutive celiac serologies in all patients less than 18 years of age were evaluated over 3.
Article Synopsis
- Bone health is at risk for patients with celiac disease (CD) due to inflammation and malabsorption of calcium and vitamin D, affecting both adults and children.
- Most adults are found to have low bone mass at the time of CD diagnosis, necessitating monitoring through bone mineral density tests and annual vitamin D level checks.
- Along with a strict gluten-free diet, these patients should receive calcium and vitamin D supplementation and engage in weight-bearing exercises to maintain bone health and prevent osteoporosis.
Normalization Time of Celiac Serology in Children on a Gluten-free Diet.
J Pediatr Gastroenterol Nutr
March 2017
Objectives: Response to a gluten-free diet (GFD) in children with celiac disease is determined by symptom resolution and normalization of serology. We evaluated the rate of normalization of the transglutaminase (TTG) and antiendomysial (EMA) for children on a GFD after diagnosis.
Methods: Celiac serologies were obtained over 3.
Although the need for effective long-term follow-up for patients with celiac disease (CD) has been recognized by many expert groups, published practice guidelines have not provided a clear approach for the optimal management of these patients. In an attempt to provide a thoughtful and practical approach for managing these patients, a group of experts in pediatric CD performed a critical review of the available literature in 6 categories associated with CD to develop a set of best practices by using evidence-based data and expert opinion. The 6 categories included the following: bone health, hematologic issues, endocrine problems, liver disease, nutritional issues, and testing.
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