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

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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.


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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