Assessment of Duodenal Epithelial Integrity in Celiac Disease With Mucosal Impedance
Status: | Enrolling by invitation |
---|---|
Conditions: | Endocrine |
Therapuetic Areas: | Endocrinology |
Healthy: | No |
Age Range: | 18 - 99 |
Updated: | 12/21/2018 |
Start Date: | December 2016 |
End Date: | June 2019 |
Increased intestinal permeability can represent compromise of the epithelium's integrity and
is thought to be the primary mechanism in patients who develop Celiac Disease (CeD) and
non-celiac gluten sensitivity when gluten peptides cross the barrier and trigger an immune
response. In this study, the investigators propose to use a novel, minimally invasive
technology to detect mucosal damage (i.e. barrier dysfunction) in the duodenal epithelium.
The primary aim of this study is to identify if there is a difference in duodenal mucosal
impedance between CeD and control patients.
is thought to be the primary mechanism in patients who develop Celiac Disease (CeD) and
non-celiac gluten sensitivity when gluten peptides cross the barrier and trigger an immune
response. In this study, the investigators propose to use a novel, minimally invasive
technology to detect mucosal damage (i.e. barrier dysfunction) in the duodenal epithelium.
The primary aim of this study is to identify if there is a difference in duodenal mucosal
impedance between CeD and control patients.
Inclusion Criteria:
- scheduled for endoscopy as part of routine care with or without suspected Celiac
Disease based upon at least 1 positive serologic marker of CeD
- consuming gluten at time of endoscopy
Exclusion Criteria:
- Already on a gluten free diet or unwilling to undergo a gluten challenge
- Undergoing upper endoscopy for an urgent indication such as unstable gastrointestinal
bleed or food impaction
- Patients with inflammatory bowel disease
- Patients on blood thinners other than aspirin at time of endoscopy
- Patient unable to give informed consent
- Patient less than 18 years old
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