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首页> 外文期刊>European journal of gastroenterology and hepatology >Coeliac disease: further evidence that biopsy is not always necessary for diagnosis
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Coeliac disease: further evidence that biopsy is not always necessary for diagnosis

机译:乳糜泻:进一步证据表明活检并不总是需要诊断

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Objectives Growing evidence supports the view that the diagnosis of coeliac disease (CD) can be made by serological tests alone, although this approach is still not widely accepted. We previously showed in retrospective and prospective studies that in adults an IgA-tissue transglutaminase antibody cut-off can be defined above which the positive predictive value for CD is 100%. Following a change in the analytical method for measuring the antibody, our objectives were to re-examine this finding in a larger series of adults to ascertain whether a diagnosis of CD can be reliably made in a proportion of patients without the need for small bowel biopsy and to re-evaluate the diagnostic guidelines used in our centre.
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