Celiac disease
celiac · society: ACG
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Summary
2023 ACG update to the 2013 celiac disease guideline covering diagnosis, management, monitoring, and follow-up in adults and children. Confirms TTG IgA with total IgA as first-line serologic screen on a gluten-containing diet, with EGD and duodenal biopsy (1-2 bulb + ≥4 distal duodenum) to confirm diagnosis in most patients. Newly endorses a nonbiopsy diagnostic pathway in selected children (TTG IgA >10× ULN + confirmatory EMA) and discusses gluten-free diet adherence, mucosal healing, pneumococcal vaccination, oats, probiotics, and refractory disease.
Current guideline: ACG 2023 Celiac Guideline · 
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Versions
- 2023 · ACG — ACG 2023 Celiac Guideline