-Digestive Endoscopy of Celiac disease: Required biopsy confirmation of diagnosis of Celiac disease (whether positive immunological tests), is taken during a gastrointestinal endoscopy. Sometimes biopsy performed for diagnosis of other diseases, Celiac disease reveals the characteristic intestinal lesions.  An intestinal biopsy is recommended for those who have a gluten-free diet and symptoms characteristic of Celiac disease. If the biopsy shows Celiac disease lesions (vili and abnormal bowel inflammation of small intestine), gluten-free diet is recommended. If symptoms resolve and immunological tests are abnormal after a gluten-restricted diet, are confirming the diagnosis of Celiac disease. In suspicion case of Celiac disease in a person with a gluten-free diet is recommended ingestion of a prescribed amount of gluten, prior to biopsy.



-Treatment: General treatment forCeliac disease signs:  The most common cause of recurrence of Celiac disease signs is gluten food consumption. Some people may experience diarrhea and weight loss, even in small amounts ingestion of gluten. Chronic consumption of foods with gluten causes intestinal inflammatory lesions affecting vilia intestinal, even if symptoms are not present. The consequence is the appearance of intestinal lesions malabsorbtion, its consequences, anemia, osteoporosis and other diseases due to deficiency of vitamins and nutrients. A severe complication caused by intestinal lesions is T-cell lymphoma (malignant tumor of the gastrointestinal tract).



Patients with complications or symptoms of Celiac disease require:
- Assessment of diet, to ensure that it does not contain gluten. Doctor or nutritionist can provide more information about Celiac disease foods forbidden in. Children and adolescents with Celiac disease must acknowledge the importance of maintaining a strict diet without gluten, to prevent late complications of the disease;

- Clinical and biological review if symptoms persist for those who do not eat gluten because in such cases is possible another diagnosis (e.g. irritable bowel);
- Revaluation of digestive endoscopy and intestinal biopsy to confirm the accuracy of diagnosis;

- Oral steroid medication (rarely). Most doctors do not agree with corticosteroid use in treating celiac disease resistance gluten restricted diet. If complications of acute severe celiac disease, they recommend using corticosteroids injectable medication, oral steroids can be used for a while in refractory sprue (celiac disease unresponsive to gluten restriction).



Treatment of Celiac disease is made according to its complication, severity and type. For example, osteoporosis occurred in adults with Celiac disease, treatment requires a long time (months, years). As I said, some people with Celiac disease can eat foods with gluten without symptoms show, but nevertheless cause intestinal ingested gluten that time may be complicated by the emergence and growth deficiency rickets in children or anemia, osteoporosis and lymphoma in adults. 

Compliance with diet is very difficult, especially for those who have no symptoms after ingestion of gluten or when teens are tempted not to follow diet entourage. Awareness is very important for children and teenagers in connection with chronic consumption of gluten.