Utilidad de la biopsia de duodeno en el diagnóstico de la Enfermedad Celíaca
Value of Duodenal Biopsy on Celiac Disease Diagnosis
Palabras clave:
Enfermedad Celiaca, Linfocitosis Intraepitelial, Atrofia Vellositaria
Resumen
Para el diagnóstico de la Enfermedad Celiaca debe correlacionarse los aspectos relacionados con la clínica, pruebas serológicas, estudio endoscópico y biopsias de la mucosa duodenal. Los hallazgos esenciales son la linfocitosis intraepitelial, atrofia de las vellosidades intestinales e hiperplasia de las criptas. Para su interpretación apropiada se requiere de un muestro adecuado. En una elevada proporción de pacientes, las biopsias de la mucosa duodenal son relevantes para el diagnóstico y seguimiento.
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Citas
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Lewis N, Scott B. Meta-analysis: deamidated gliadin peptide antibody and tissue transglutaminase antibody compared as screening tests for coeliac disease. Aliment Pharmacol Ther 2010;31(1):73–81.
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Weir D, Glickman J, Roiff T, Valim C, Leichtner A. Variability of histopathological changes in childhood celiac disease. Am J Gastroenterol 2010;105:207–212.
Marsh M. Gluten, major histocompatibility complex, and the small intestine: a molecular and immunobiologic approach to the spectrum of gluten sensitivity (‘celiac sprue’). Gastroenterology 1992;102(1):330–54.
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(10):1185–94.
Corazza G, Villanacci V. Coeliac disease. J Clin Pathol 2005;58(6):573-4.
Corazza G, Villanacci V, Zambelli C, Milione M, Luinetti O, y col. Comparison of the interobserver reproducibility with different histologic criteria used in celiac disease. Clin Gastroenterol Hepatol 2007;5(7):838-43.
Kaswala D, Veeraraghavan G, Kelly C, Leffler D. Celiac disease: diagnostic standards and dilemmas. Diseases 2015;3(2):86–101.
Lewis N, Scott B. Meta-analysis: deamidated gliadin peptide antibody and tissue transglutaminase antibody compared as screening tests for coeliac disease. Aliment Pharmacol Ther 2010;31(1):73–81.
Van der Windt D, Jellema P, Mulder CJ, Kneepkens CF, van der Horst HE. Diagnostic testing for celiac disease among patients with abdominal symptoms: a systematic review. JAMA 2010;303(17):1738–46.
Niveloni S, Fiorini A, Dezi R, Pedreira S, Smecuol E, Vazquez H, y col. Usefulness of videoduodenoscopy and vital dye staining as indicators of mucosal atrophy of celiac disease: assessment of interobserver agreement. Gastrointest Endosc 1998;47(3):223–9.
McCarty TR, O'Brien CR, Gremida A, Ling C, Rustagi T. Efficacy of duodenal bulb biopsy for diagnosis of celiac disease: a systematic review and meta-analysis. Endosc Int Open. 2018;6(11):E1369–E78.
Lewis D, Haridy J, Newnham ED. Testing for coeliac disease. Aust Prescr. 2017;40(3):105–8.
Bao F, Green PH, Bhagat G. An update on celiac disease histopathology and the road ahead. Arch Pathol Lab Med 2012 Jul;136(7):735-45.
Kaswala D, Veeraraghavan G, Kelly C, Leffler D. Celiac Disease: Diagnostic Standards and Dilemmas. Diseases 2015;3(2):86-101.
Weir D, Glickman J, Roiff T, Valim C, Leichtner A. Variability of histopathological changes in childhood celiac disease. Am J Gastroenterol 2010;105:207–212.
Marsh M. Gluten, major histocompatibility complex, and the small intestine: a molecular and immunobiologic approach to the spectrum of gluten sensitivity (‘celiac sprue’). Gastroenterology 1992;102(1):330–54.
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(10):1185–94.
Corazza G, Villanacci V. Coeliac disease. J Clin Pathol 2005;58(6):573-4.
Corazza G, Villanacci V, Zambelli C, Milione M, Luinetti O, y col. Comparison of the interobserver reproducibility with different histologic criteria used in celiac disease. Clin Gastroenterol Hepatol 2007;5(7):838-43.
Publicado
2023-11-21
Cómo citar
Arismendi-Morillo, G. (2023). Utilidad de la biopsia de duodeno en el diagnóstico de la Enfermedad Celíaca: Value of Duodenal Biopsy on Celiac Disease Diagnosis. Revista Profesional HígadoSano, (26), 41-44. https://doi.org/10.5281/zenodo.10194729
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