Abstract
To our knowledge, this is the first reported case of clinical onset of celiac disease (CD) following duodenal switch surgery. A 61-year-old obese woman developed severe diarrhea soon after bariatric surgery (BS), which was unresponsive to standard medical treatment. After the most common diarrhea etiologies in the immediate postoperative period have been excluded, serological tests were performed. Final diagnosis was determined by anti-tissue transglutaminase antibody positivity. In light of this case report, we propose that CD should be ruled out in any patient presenting with typical or atypical symptoms after BS, regardless of the latency of onset.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Ukkola A, Mäki M, Kurppa K, Collin P, Huhtala H, Kekkonen L et al. Changes in body mass index on a gluten-free diet in coeliac disease: a nationwide study. EJIM 2012; 23: 384–388.
Rampertab SD, Pooran N, Brar P, Singh P, Green PHR . Trends in the presentation of celiac disease. Am J Med 2006; 119: 355.e9–355.e14.
Green PH, Jabri B . Coeliac disease. Lancet 2003; 362: 383–391.
González-Molero I, Morcillo S, Valdés S, Pérez-Valero V, Botas P, Delgado E et al. Vitamin D deficiency in Spain: a population-based cohort study. EJCN 2011; 65: 321–328.
Deepu D, Hardigan P, Bray N, Penzell D, Savu C . The incidence of vitamin D deficiency in the obese: a retrospective chart review. J Community Hosp Intern Med Perspect 2015; 5: 26069.
Maple JT, Pearson RK, Murray JA, Kelly DG, Lara LF, Fan AC . Silent celiac disease activated by pancreaticoduodenectomy. Dig Dis Sci 2007; 52: 2141–2144.
Nenna R, Mosca A, Mennini M, Edo Papa R, Petrarca L, Mercurio R et al. Coeliac disease screening among a large cohort of overweight/obese children. JPGN 2015; 60: 405–407.
Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon M et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract 2013; 19: 337–372.
De’Angelis N, Carra MC, Vicenzi F . Gluten-free diet in obese patients with celiac disease: an enemy of the bariatric surgeon? Obes Surg 2012; 22: 995–996.
Kabbani TA, Goldberg A, Kelly CP, Pallav K, Peer A, Hansen J et al. Body mass index and the risk of obesity in coeliac disease treated with the gluten-free diet. Aliment Pharmacol Ther 2012; 35: 723–729.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Pané, A., Orois, A., Careaga, M. et al. Clinical onset of celiac disease after duodenal switch: a case report. Eur J Clin Nutr 70, 1078–1079 (2016). https://doi.org/10.1038/ejcn.2016.65
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/ejcn.2016.65
This article is cited by
-
Post-bariatric Surgery Outcomes and Complications in Patients with Celiac Disease: a Matched Case-Control Study
Obesity Surgery (2021)
-
Celiac Disease and Obesity: Is Bariatric Surgery an Option?
Obesity Surgery (2020)
-
Letter: Celiac Disease Presenting After a Single Anastomosis Duodeno-Ileal Bypass and Sleeve Gastrectomy
Obesity Surgery (2019)
-
Implications of Celiac Disease Among Patients Undergoing Gastric Bypass
Obesity Surgery (2018)