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Prevalence of celiac disease among pediatric patients with cryptogenic cirrhosis and effect of gluten-free-diet

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Abstract

Background

Liver involvement in celiac disease (CD) is classified into autoimmune and cryptogenic. The association between CD and autoimmune liver diseases like autoimmune hepatitis, primary biliary cirrhosis, and primary sclerosing cholangitis is well-established; however, the data on patients with cryptogenic cirrhosis, particularly from India, are scanty. So we did this study to find the prevalence of CD in patients with cryptogenic cirrhosis.

Methods

This was a prospective observational study, involving children of less than 18 years old attending Pediatric and Gastroenterology clinic with a diagnosis of cryptogenic cirrhosis. The patients were evaluated for CD and divided into two groups: chronic liver disease (CLD) with CD, and CLD without CD. Both the groups were followed up for 6 months. CLD with CD group was treated with gluten-free-diet (GFD) and CLD without CD group was followed up without any specific intervention except standard care of CLD.

Results

Out of 84 patients, 11 (13.1%) were diagnosed as CLD with CD. There was an improvement in hemoglobin levels, liver function tests, and Child-Pugh score after initiation of GFD in CLD with CD group.

Conclusion

The prevalence of CD in cryptogenic cirrhosis was 13.1%. Screening for CD is recommended for cryptogenic cirrhosis. Hepatic functions improve with a GFD in CD patients with cirrhosis.

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Authors and Affiliations

  1. Department of Gastroenterology, Sardar Patel Medical College, Bikaner, 334 001, India

    Ashish Joshi & Sushil Falodia

  2. Department of General Medicine, Sardar Patel Medical College, Bikaner, 334 001, India

    Naveen Kumar

  3. Department of Pediatrics, Sardar Patel Medical College, Bikaner, 334 001, India

    Pawan Gupta & P. C. Khatri

Authors
  1. Ashish Joshi
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  2. Sushil Falodia
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  3. Naveen Kumar
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  4. Pawan Gupta
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  5. P. C. Khatri
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Corresponding author

Correspondence to Naveen Kumar.

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Conflicts of interest

AJ, SF, NK, PK, PG, and PCK declare that they have no conflict of interest.

Ethics statement

The study was performed in a manner to conform with the Helsinki Declaration of 1975, as revised in 2000 and 2008 concerning human and animal rights, and the authors followed the policy concerning informed consent as shown on Springer.com.

The study protocol was approved by the institutional review board and ethics committee.

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Joshi, A., Falodia, S., Kumar, N. et al. Prevalence of celiac disease among pediatric patients with cryptogenic cirrhosis and effect of gluten-free-diet. Indian J Gastroenterol 37, 243–247 (2018). https://doi.org/10.1007/s12664-018-0857-6

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  • DOI: https://doi.org/10.1007/s12664-018-0857-6

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