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The subject of "food intolerance", including gluten sensitivity and elimination diets, was discussed in 1976. [51] Patients with symptoms including abdominal pain and diarrhea, which improved on gluten withdrawal, and who did not have celiac disease were initially described in 1976 and 1978 with the first series in 1980.
Gluten-sensitive enteropathy–associated conditions are comorbidities or complications of gluten-related gastrointestinal distress (that is, gluten-sensitive enteropathy or GSE). GSE has key symptoms typically restricted to the bowel and associated tissues; however, there are a wide variety of associated conditions.
Non-celiac gluten sensitivity (NCGS), or gluten intolerance, [1] is a syndrome in which people develop a variety of intestinal and/or extraintestinal symptoms that improve when gluten is removed from the diet, [32] after coeliac disease and wheat allergy are excluded. [33]
The alternative diagnosis of non-coeliac gluten sensitivity may be made where there is only symptomatic evidence of gluten sensitivity. [106] Gastrointestinal and extraintestinal symptoms of people with non-coeliac gluten sensitivity can be similar to those of coeliac disease, [ 16 ] and improve when gluten is removed from the diet, [ 107 ...
Non-coeliac gluten sensitivity (NCGS) is described as a condition of multiple symptoms that improves when switching to a gluten-free diet, after coeliac disease and wheat allergy are excluded. [ 36 ] [ 37 ] People with NCGS may develop gastrointestinal symptoms, which resemble those of irritable bowel syndrome (IBS) [ 38 ] [ 39 ] or a variety ...
A recently proposed criterion to non-coeliac gluten sensitivity diagnosis concludes that an improvement of gastrointestinal symptoms and extra-intestinal manifestations higher than 50% with a gluten-free diet, assessed through a rating scale, may confirm the clinical diagnosis of non-coeliac gluten sensitivity. Nevertheless, this rating scale ...
As of 2019, reviews conclude that although FODMAPs present in wheat and related grains may play a role in non-celiac gluten sensitivity, they only explain certain gastrointestinal symptoms, such as bloating, but not the extra-digestive symptoms that people with non-celiac gluten sensitivity may develop, such as neurological disorders ...
So symptoms and issues typically resolve when patients adapt a gluten-free diet. For some patients that start to adhere to a gluten-free diet, even for many years, there’s still an increased risk of refractory disease, like small bowel cancer and T-cell lymphoma, presumably due to inflammation and immune system activation over time.
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