Surgical aspects of celiac disease

Jon S Thompson, David S. Thompson, Avishai Meyer

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Celiac disease, characterized by intestinal inflammation and malabsorption, occurs in 1 per cent of the population and is often undiagnosed. These patients are at increased risk for surgical procedures resulting from symptoms, associated intestinal disorders, and malignancy. Our aim was to determine the incidence and outcome of abdominal operations in patients with celiac disease. Records of 512 adult patients with celiac disease evaluated over a 22-year period were reviewed. Operations were classified as related or unrelated to celiac disease. One hundred eighty-eight (36%) of 512 patients underwent abdominal operations. One hundred twenty-seven (68%) of the 188 patients had unrelated procedures. Sixty-one (32%) had operations considered related to celiac disease. Twenty-six (43%) of 61 with related procedures were diagnosed preoperatively. Procedures were performed for pain, obstruction, motility disorders, and malignancy. Six patients had recurrent pancreatitis. Seven patients underwent liver transplantation. Thirty-five (57%) related procedures led to the diagnosis of celiac disease including ''unmasking'' (n = 25) and diagnostic findings (n = 10). One-third of patients with celiac disease undergo abdominal operations of which one-third are related to celiac disease. Operations are related to complications of celiac disease and often lead to the initial diagnosis.

Original languageEnglish (US)
Pages (from-to)157-160
Number of pages4
JournalAmerican Surgeon
Volume81
Issue number2
StatePublished - Feb 1 2015

Fingerprint

Celiac Disease
Pancreatitis
Liver Transplantation
Neoplasms
Inflammation
Pain
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Thompson, J. S., Thompson, D. S., & Meyer, A. (2015). Surgical aspects of celiac disease. American Surgeon, 81(2), 157-160.

Surgical aspects of celiac disease. / Thompson, Jon S; Thompson, David S.; Meyer, Avishai.

In: American Surgeon, Vol. 81, No. 2, 01.02.2015, p. 157-160.

Research output: Contribution to journalArticle

Thompson, JS, Thompson, DS & Meyer, A 2015, 'Surgical aspects of celiac disease', American Surgeon, vol. 81, no. 2, pp. 157-160.
Thompson JS, Thompson DS, Meyer A. Surgical aspects of celiac disease. American Surgeon. 2015 Feb 1;81(2):157-160.
Thompson, Jon S ; Thompson, David S. ; Meyer, Avishai. / Surgical aspects of celiac disease. In: American Surgeon. 2015 ; Vol. 81, No. 2. pp. 157-160.
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