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| Format: | Artículo científico |
| Language: | en |
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Sociedad Argentina de Gastroenterología
2013
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| Online Access: | https://www.redalyc.org/articulo.oa?id=199326065005 |
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Table of Contents:
- Diagnosis of celiac disease during pre-operative work-up for bariatric surgery Federico Cuenca-Abente Fabio Nachman Julio C Bai Medicina serology duodenos copy Morbid obesity celiac disease bariatric surgery Background and aim . Morbid obesity is a highly prevalent condition. In selected cases, bariatric surgery is indicated. Although for decades celiac disease (CD) has been associated with chronic diarrhea and weight loss, now it becomes clear that the clinical spectrum is extremely wide. Methods. We report 5 morbidly obese patients that were diagnosed of CD during pre- operative work-up for bariatric surgery. Diagnosis was suspected during routine upper endoscopy, and con - firmed by histology and positive CD-specific serology. Result. Four of the 5 cases were asymptomatic. One complained of chronic diarrhea and anemia. All cases initiated a gluten-free diet. Due to CD, patients were offered a purely restrictive bariatric procedure. Three patients underwent a sleeve gastrectomy while the other two are still undergoing pre-operative evaluations. Conclusion. This report enlarges the clinical spectrum of untreated CD. Although prevalence of CD in obese patients seems to be similar to that in the general popu - lation, morbid obese patients should be tested for CD in order to establish the best surgical strategy and outcome. 2013 artículo científico 2469-1119 https://www.redalyc.org/articulo.oa?id=199326065005 en http://www.redalyc.org/revista.oa?id=1993 Acta Gastroenterológica Latinoamericana application/pdf Sociedad Argentina de Gastroenterología Acta Gastroenterológica Latinoamericana (Argentina) Num.1 Vol.43