• Internal medicine · Feb 2022

    Case Reports

    Celiac Disease Diagnosed after Gastrectomy for Gastric Cancer.

    • Maho Iwamoto, Kimitoshi Kato, Yoshiaki Kusumi, Shinobu Masuda, Tomohiro Nakayama, and Mitsuhiko Moriyama.
    • Division of Gastroenterology and Hepatology, Department of Internal Medicine, Nihon University School of Medicine, Japan.
    • Intern. Med. 2022 Feb 1; 61 (3): 323-328.

    AbstractCeliac disease is a systemic autoimmune disorder leading to manifestations of malabsorption syndrome. A 47-year-old Japanese man developed severe diarrhea after surgery for gastric cancer. The diarrhea persisted for seven months, leading to a state of malabsorption. Celiac disease was suspected based on small bowel capsule endoscopy findings. The duodenal findings observed during gastric cancer surgery were reassessed, and Marsh-Oberhuber classification type 3c celiac disease was diagnosed. The anti-tissue glutaminase antibody test results were positive. The patient was started on a gluten-free diet, following which the diarrhea resolved, and the nutritional status improved. Adjuvant therapy after gastric cancer surgery was initiated.

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