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Dehghani SM, Ehsaei Z, Honar N, et al. Frequency of Celiac Disease In Children With Chronic Functional Constipation in Shiraz-Iran. Middle East J Dig Dis. 2015;7:166-9
Dehghani, S. M., Ehsaei, Z., Honar, N., & Javaherizadeh, H. (2015). Frequency of Celiac Disease In Children With Chronic Functional Constipation in Shiraz-Iran. Middle East journal of digestive diseases, 7166-9.
Dehghani, Seyed Mohsen, et al. "Frequency of Celiac Disease In Children With Chronic Functional Constipation in Shiraz-Iran." Middle East journal of digestive diseases vol. 7 (2015): 166-9.
Dehghani SM, Ehsaei Z, Honar N, Javaherizadeh H. Frequency of Celiac Disease In Children With Chronic Functional Constipation in Shiraz-Iran. Middle East J Dig Dis. 2015 Jul;7:166-9. PMID: 26396719; PMCID: PMC4560631.
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Middle East J Dig Dis. 2015 Jul;7:166-9.

Frequency of Celiac Disease In Children With Chronic Functional Constipation in Shiraz-Iran.

Middle East journal of digestive diseases

Seyed Mohsen Dehghani, Zahra Ehsaei, Naser Honar, Hazhir Javaherizadeh

Affiliations

  1. Gastroenterohepatology Research Center, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  2. Department of Pediatrics, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  3. Neonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

PMID: 26396719 PMCID: PMC4560631

Abstract

BACKGROUND Celiac disease is an autoimmune mediated small intestine inflammation which occurs due to hypersensitivity reaction to gluten and related proteins in diet in genetically predisposed individuals. Prevalence of celiac among the population is about 0.5 - 1 % in most countries. Frequency of celiac disease in children is the subject of a few research. In this study, we aim to determine the frequency of celiac disease in patients presenting with functional constipation. METHODS This cross-sectional study was conducted on children referring to Imam Reza Clinic, affiliated to Shiraz University of Medical Sciences during one year starting from 2011, March 20. One hundred and one children 2-18 years of age with constipation for more than 2 months according to ROME III criteria. The entire participants underwent serologic studies of Total IgA and IgA TTG. Serum IgG TTG was measured in cases with reported values of Total IgA below the lowest normal limits. Moreover, endoscopic biopsy of the small intestine was also performed for patients with positive serology. RESULTS Of all the 101 studied participants, only four individuals (3.96 %) had positive test results for IgA TTG ( potential celiac disease). one of these patients refused to do endoscopy and endoscopic small intestine biopsy was performed for 3 patients. Two of them had normal pathology and one of them(0.99 %) was confirmed for celiac disease. CONCLUSION The frequency of celiac disease in children with chronic constipation is slightly higher than general population but without significant difference( 0.99% VS 0.6% ; p=0.64). So the screening serologic test for celiac disease is not recommended in children with chronic constipation.

Keywords: Celiac disease; Constipation; IgA anti-tissue transglutaminase

References

  1. Arch Iran Med. 2012 Jun;15(6):342-5 - PubMed
  2. Can J Gastroenterol. 2013 Dec;27(12):e35-8 - PubMed
  3. J Pediatr Gastroenterol Nutr. 2005 Jan;40(1):1-19 - PubMed
  4. Ann Saudi Med. 2013 Mar-Apr;33(2):159-61 - PubMed
  5. Am J Gastroenterol. 2006 Oct;101(10):2401-9 - PubMed
  6. Gastroenterology. 1993 Nov;105(5):1557-64 - PubMed
  7. J Pediatr (Rio J). 2012 Mar-Apr;88(2):173-6 - PubMed
  8. Am J Gastroenterol. 2013 May;108(5):656-76; quiz 677 - PubMed
  9. Am Fam Physician. 2003 Mar 1;67(5):1041-2 - PubMed
  10. Scand J Gastroenterol. 2005 Aug;40(8):950-7 - PubMed
  11. Eur J Gastroenterol Hepatol. 2003 May;15(5):475-8 - PubMed
  12. Gastroenterology. 2006 Apr;130(5):1527-37 - PubMed

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