The
following articles can help you know what to expect during your
recovery from CD, and
give you an idea of what might be wrong if you are not doing well.
Additional
recommendations to help you
make a full recovery from Celiac Disease
"Why
Symptoms Persist - I'm on the diet and not getting better"
Chapter 16 of "Celiac
Disease: a hidden epidemic"
Effect
of a Gluten-Free Diet on Gastrointestinal
Symptoms in Celiac Disease
Etiology
of nonresponsive Celiac Disease:
results of a systematic approach
Clinical
Management of Celiac Disease: Diet,
Co-existing
conditions, and Refractory Disease
(article on page 22)
"Empiric and separate trials of a lactose-free diet, pancreatic
enzyme supplements and antibiotics to see what helps are reasonable
approaches".
Histologic
Follow-up of People with Celiac Disease
on the Gluten-Free Diet: slow and incomplete recovery
Clinical
Manifestations of Malabsorption of Fructose and other Short-Chain
Carbohydrates
Prevalence
of small intestine bacterial overgrowth diagnosed by
quantitative culture of intestinal aspirate in Celiac Disease
Small
Intestinal Bacterial Overgrowth
from MedicineNet.com
Uninvited Guests: The Impact of Small Intestinal
Bacterial Overgrowth on Nutritional Status
Articles
about Probiotics (see charts): Wall
Street Journal, Wikipedia
Fermented
Foods as a source of probiotics
Effect
of Elemental Diet on ... type 1 refractory Celiac Disease
Update
on the Management of Refractory Coeliac Disease
Differential
Diagnosis of Persisting Villous Atrophy
Protein
Intolerance
From this article: dairy, soy and egg protein are the most common
problems.
"The simplest type of elimination diet is elimination of
suspected food antigens from the diet for 2-4 weeks or longer."
Mucosal
Reactivity to Cow's Milk Protein in Coeliac Disease
AGA
Technical Review on the Evaluation of Food Allergy in Gastrointestinal
Disorders
See page 9 of the pdf for a discussion of elimination diets
A
good description of elimination
diets
Evaluation
of the patient with suspected eosinophilic gastrointestinal disease
This article is available for purchase online and is also at Ruth
Lilly Medical Library
AGA
Medical Position Statement: Guidelines for the Evaluation of Food
Allergies
Clinical
Aspects of Gastrointestinal Food Allergy in Childhood
Effect
of six-food elimination diet on clinical and histological outcomes
in eosinophilic esophagitis
Food
Allergy Clinic at Cincinnati Children's Hospital
Quote
from Textbook of Gastroenterology (2003, emphasis mine):
"Small amounts of antigenic macromolecules normally penetrate
the gastrointestinal mucosal barrier and reach the systemic circulation,
occurring more in early life and in conditions causing
disruption of the mucosal defenses".
Note:
Exposure to gluten increases intestinal permeability in everyone,
although there tends to be a greater increase in people with CD
(References 1
2).
Increased intestinal permeabilitly may make people with CD more
likely to have developed other food intolerances and allergies
Role of the Intestinal Barrier in Inflammatory Bowel Disease
includes a discussion of probiotics
Vitamin D has been demonstrated in an animal study to play an
important role in
intestinal mucosal barrier maintenance:
Novel
role of the Vitamin D receptor in maintaining the integrity of
the intestinal mucosal barrier
Celiac
Disease and Recurrent Pancreatitis
This article shows the connection between Celiac Disease,
Sphincter of Oddi Dysfunction (aka papillary stenosis) and pancreatitis
Risk
of Pancreatitis in 14,000 Individuals with Celiac Disease
Sphincter
of Oddi Dysfunction: diagnosis and treatment
Treatment of Sphincter of Oddi Dysfunction by ERCP with manometry/sphincterotomy
is best done at a specialist such as Stuart
Sherman at Indiana
University
Articles
about Xifaxan (rifaximin): 1,
2
This is an antibiotic that may be used for small intestinal bacterial
overgrowth
