BSPGHAN 2021 Virtual Annual Meeting

27- 29 April 2021

REVIEW OF DIAGNOSIS AND MANAGEMENT OF COELIAC DISEASE IN A DISTRICT GENERAL HOSPITAL IN THE NORTH WEST

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Jutta Koeglmeier
Jutta Koeglmeier
5 months ago

Could you please outline how the asymptomatic patients came to your attention

BAN ALKAABY
BAN ALKAABY
5 months ago

Thanks for your question,In fact those patients were identified as part of screening due to presence of risk factor e.g. T1DM, first degree relative of a coeliac patient,Thyroid disease…

Siba Paul
Siba Paul
5 months ago

Great poster

Just a suggestion – it’s always good to put the name of your hospital please

Presume you meant 2012 ESPGHAN guidelines rather than 2015 NICE guidelines!

Amazing to see the ESPGHAN guidelines were followed by the book

My experience of having done similar audits in 3 Southwest of England DGHs is that NBP wasn’t appropriately used for 10 – 20% cases

Also would be good to know how during COVID-19 you amazingly managed to get biopsies done as in SWE there was an interim guidance where children with TGA-IgA <10xULN but not possibly >5xULN had to be diagnosed via NBP!

Thanks

BAN ALKAABY
BAN ALKAABY
5 months ago
Reply to  Siba Paul

Thanks, Dr Siba for your comments.

  • We did not mention the hospital name as we thought it should be anonymous on conference presentations.
  • Fortunately, the cases that needed biopsy were before the pandemic. And the new guidelines helped to minimize the need for biopsy, if we were to follow the 2012 guidelines, we would be lagging by >10%. Maybe the same as your experience in the SWE.

Regards
Ban

Farah Barakat
Farah Barakat
5 months ago

Reviewing gluten free meals at school is a great objective and future work is certainly needed. Well done Ban for getting this work done.

BAN ALKAABY
BAN ALKAABY
5 months ago
Reply to  Farah Barakat

Thanks, Farah. Yes, indeed the school meal is a great subject for future work!