eMedicine Specialties > Radiology > Gastrointestinal

Sprue: Follow-up

Author: J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
Coauthor(s): Carolyn R Bray Hebson, MD, Staff Physician, Department of Ophthalmology, Emory University School of Medicine
Contributor Information and Disclosures

Updated: Jun 2, 2009

Intervention

The most effective treatment for celiac patients is a strict gluten-free diet, which can protect them against complications. However, approximately 10-15% of celiac patients have a poor response to this dietary modification.3,17

In a prospective, double-blind, placebo-controlled study of trace amounts of gluten in 49 celiac disease patients on gluten-free diets, it was determined that contaminating gluten, according to Catassi et al, should be limited to a total of less than 50 mg a day in the treatment of patients with celiac disease.38

 


More on Sprue

Overview: Sprue
Imaging: Sprue
Follow-up: Sprue
Multimedia: Sprue
References
Further Reading
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References

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  37. Cynn WS, Herasme VM, Levin BL. Mesenteric angiography of non-tropical sprue. Am J Roentgenol Radium Ther Nucl Med. Oct 1975;125(2):442-6. [Medline].

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Further Reading

Related eMedicine topics
Celiac Sprue

Celiac Disease

Sprue, Tropical

Clinical guidelines
Guideline for the diagnosis and treatment of celiac disease in children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition - Professional Association.  2005 Jan.  19 pages.  NGC:004186

Celiac disease. National Institutes of Health (NIH) Consensus Development Panel on Celiac Disease - Independent Expert Panel
Office of Medical Applications of Research (NIH) - Federal Government Agency [U.S.].  2004 Aug 9.  15 pages.  NGC:003830

Clinical trials
Can a Very High Result From a Screening Test for Celiac Disease be Used to Diagnose Celiac Disease?

Infant Nutrition and Risk of Celiac Disease

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Keywords

sprue, celiac disease, nontropical sprue, celiac sprue, idiopathic sprue, idiopathic steatorrhea, gluten enteropathy, gluten-sensitive enteropathy, gluten-induced enteropathy, gluten intolerance

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Contributor Information and Disclosures

Author

J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
J Kevin Smith, MD, PhD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, International Society for Magnetic Resonance in Medicine, Radiological Society of North America, and Society of Radiologists in Ultrasound
Disclosure: Nothing to disclose.

Coauthor(s)

Carolyn R Bray Hebson, MD, Staff Physician, Department of Ophthalmology, Emory University School of Medicine
Carolyn R Bray Hebson, MD is a member of the following medical societies: Alpha Omega Alpha
Disclosure: Nothing to disclose.

Medical Editor

Jocelyn D Chertoff, MD, Associate Professor of Radiology and Obstetrics/Gynecology, Dartmouth Medical School; Consulting Staff, Department of Diagnostic Radiology, Dartmouth-Hitchcock Medical Center
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Udo P Schmiedl, MD, PhD, Clinical Professor, Department of Radiology, University of Washington; Consulting Staff, Swedish Medical Center, University of Washington Medical Center, Seattle Radiologists
Udo P Schmiedl, MD, PhD is a member of the following medical societies: American College of Radiology and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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