caa a22 4500 475787102 CHVBK 20180406123701.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/PL00008348 doi (NATIONALLICENCE)springer-10.1007/PL00008348 Faecal occult blood in children with coeliac disease [Elektronische Daten] [Raanan Shamir, Arie Levine, Michal Yalon-Hacohen, Rivka Shapiro, Ilan Zahavi, Yoram Rosenbach, Aharon Lerner, Gabriel Dinari] It has recently been suggested that in adults with coeliac disease, faecal blood loss may play a role in the development of iron deficiency. A group of 45 children diagnosed with coeliac disease during 1996 and 1997 were therefore prospectively evaluated for the presence of gluten in their diet, iron deficiency anaemia, and faecal occult blood. Sixty children admitted for elective surgery or asthma served as controls. Faecal occult blood was found in four iron deficient children on normal diet, of whom three were newly diagnosed. Occult blood loss disappeared in three of the four children when gluten was removed from their diet. Faecal occult blood was found in 26.7% of children on gluten-containing diet, but not in children on gluten-free diet (P=0.01), or in control children (P=0.001). Conclusion Our data suggest that the incidence of occult blood loss in coeliac disease occurs mainly in newly diagnosed cases and responds to a gluten-free diet. Occult blood testing may not be warranted in the absence of iron deficiency anaemia nor in children with iron deficiency anaemia who are on a gluten-free diet. Springer-Verlag Berlin Heidelberg, 2000 Key words Coeliac disease nationallicence Children nationallicence Iron deficiency anaemia nationallicence Occult blood nationallicence AbbreviationsCD coeliac disease nationallicence ID iron deficiency nationallicence GFD gluten-free diet nationallicence Shamir Raanan Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut Levine Arie Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut Yalon-Hacohen Michal Department of Paediatrics, Carmel Medical Centre, Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa, Israel, IL aut Shapiro Rivka Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut Zahavi Ilan Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut Rosenbach Yoram Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut Lerner Aharon aut Dinari Gabriel Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut https://doi.org/10.1007/PL00008348 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/PL00008348 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shamir Raanan Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut NATIONALLICENCE 700 1- Levine Arie Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut NATIONALLICENCE 700 1- Yalon-Hacohen Michal Department of Paediatrics, Carmel Medical Centre, Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa, Israel, IL aut NATIONALLICENCE 700 1- Shapiro Rivka Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut NATIONALLICENCE 700 1- Zahavi Ilan Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut NATIONALLICENCE 700 1- Rosenbach Yoram Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut NATIONALLICENCE 700 1- Lerner Aharon aut NATIONALLICENCE 700 1- Dinari Gabriel Institute of Paediatric Gastroenterology and Nutrition, Schneider Children's Medical Centre of Israel, 14 Kaplan St., Petah Tikva, Israel 49202 e-mail: dinari@post.tau.ac.il Tel.: +972-3-9376059, Fax: +972-3-9376074, IL aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer