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Terms and Conditions ACCEPT

Purpose:	To evaluate a patient diagnosed with celiac disease who has failed to respond to a gluten-free diet.
Specialty:	Gastroenterology, Nutrition, Pediatric Gastroenterology
Objective:	failure handling and therapy escalation
ICD-10:	K90.0


Are you evaluating a patient diagnosed with celiac disease who has not responded to a gluten-free diet?	Yes No

Do you suspect that the diagnosis of celiac disease is wrong?	Yes No

Has the patient had unreported or unrecognized gluten intake?	Yes No
Does the patient have evidence for ...

• lactose intolerance?	Yes No

• another food intolerance?	Yes No

• pancreatic insufficiency?	Yes No

• microscopic or collagenous colitis?	Yes No

• jejunitis?	Yes No

• Crohn's disease or ulcerative colitis?	Yes No

• autoimmune enteropathy?	Yes No

• intestinal T-cell lymphoma?	Yes No
Evaluating...

Data complete?
Evaluation appropriate?
Possible explanations for failure to respond to the gluten-free diet
Should the patient be evaluated for refractory sprue?

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Failure of Patient with Celiac Disease to Respond to Gluten-Free Diet

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