Non-Celiac Gluten Sensitivity: A Review

<i>Background and objectives:</i> Grain food consumption is a trigger of gluten related disorders: celiac disease, non-celiac gluten sensitivity (NCGS) and wheat allergy. They demonstrate with non-specific symptoms: bloating, abdominal discomfort, diarrhea and flatulence. Aim: The aim of...

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Main Authors: Anna Roszkowska, Marta Pawlicka, Anna Mroczek, Kamil Bałabuszek, Barbara Nieradko-Iwanicka
Format: Article
Language:English
Published: MDPI AG 2019-05-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/6/222
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author Anna Roszkowska
Marta Pawlicka
Anna Mroczek
Kamil Bałabuszek
Barbara Nieradko-Iwanicka
author_facet Anna Roszkowska
Marta Pawlicka
Anna Mroczek
Kamil Bałabuszek
Barbara Nieradko-Iwanicka
author_sort Anna Roszkowska
collection DOAJ
description <i>Background and objectives:</i> Grain food consumption is a trigger of gluten related disorders: celiac disease, non-celiac gluten sensitivity (NCGS) and wheat allergy. They demonstrate with non-specific symptoms: bloating, abdominal discomfort, diarrhea and flatulence. Aim: The aim of the review is to summarize data about pathogenesis, symptoms and criteria of NCGS, which can be helpful for physicians. <i>Materials and Methods:</i> The PubMed and Google Scholar databases were searched in January 2019 with phrases: &#8217;non-celiac gluten sensitivity&#8217;, non-celiac gluten sensitivity&#8217;, non-celiac wheat gluten sensitivity&#8217;, non-celiac wheat gluten sensitivity&#8217;, and gluten sensitivity&#8217;. More than 1000 results were found. A total of 67 clinical trials published between 1989 and 2019 was scanned. After skimming abstracts, 66 articles were chosen for this review; including 26 clinical trials. <i>Results:</i> In 2015, Salerno Experts&#8217; Criteria of NCGS were published. The Salerno first step is assessing the clinical response to gluten free diet (GFD) and second is measuring the effect of reintroducing gluten after a period of treatment with GFD. Several clinical trials were based on the criteria. <i>Conclusions:</i> Symptoms of NCGS are similar to other gluten-related diseases, irritable bowel syndrome and Crohn&#8217;s disease. With Salerno Experts&#8217; Criteria of NCGS, it is possible to diagnose patients properly and give them advice about nutritional treatment.
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spelling doaj.art-ac60b96b59c849e8b1327390451f18402023-09-03T00:18:16ZengMDPI AGMedicina1010-660X2019-05-0155622210.3390/medicina55060222medicina55060222Non-Celiac Gluten Sensitivity: A ReviewAnna Roszkowska0Marta Pawlicka1Anna Mroczek2Kamil Bałabuszek3Barbara Nieradko-Iwanicka4Medical University of Lublin, Radziwillowska 11 Street, 20-080 Lublin, PolandMedical University of Lublin, Radziwillowska 11 Street, 20-080 Lublin, PolandMedical University of Lublin, Radziwillowska 11 Street, 20-080 Lublin, PolandMedical University of Lublin, Radziwillowska 11 Street, 20-080 Lublin, PolandChair and Department of Hygiene, Medical University of Lublin, Radziwillowska 11 Street, 20-080 Lublin, Poland<i>Background and objectives:</i> Grain food consumption is a trigger of gluten related disorders: celiac disease, non-celiac gluten sensitivity (NCGS) and wheat allergy. They demonstrate with non-specific symptoms: bloating, abdominal discomfort, diarrhea and flatulence. Aim: The aim of the review is to summarize data about pathogenesis, symptoms and criteria of NCGS, which can be helpful for physicians. <i>Materials and Methods:</i> The PubMed and Google Scholar databases were searched in January 2019 with phrases: &#8217;non-celiac gluten sensitivity&#8217;, non-celiac gluten sensitivity&#8217;, non-celiac wheat gluten sensitivity&#8217;, non-celiac wheat gluten sensitivity&#8217;, and gluten sensitivity&#8217;. More than 1000 results were found. A total of 67 clinical trials published between 1989 and 2019 was scanned. After skimming abstracts, 66 articles were chosen for this review; including 26 clinical trials. <i>Results:</i> In 2015, Salerno Experts&#8217; Criteria of NCGS were published. The Salerno first step is assessing the clinical response to gluten free diet (GFD) and second is measuring the effect of reintroducing gluten after a period of treatment with GFD. Several clinical trials were based on the criteria. <i>Conclusions:</i> Symptoms of NCGS are similar to other gluten-related diseases, irritable bowel syndrome and Crohn&#8217;s disease. With Salerno Experts&#8217; Criteria of NCGS, it is possible to diagnose patients properly and give them advice about nutritional treatment.https://www.mdpi.com/1010-660X/55/6/222non-celiac gluten sensitivityirritable bowel diseaseglutenFODMAPwheat allergy
spellingShingle Anna Roszkowska
Marta Pawlicka
Anna Mroczek
Kamil Bałabuszek
Barbara Nieradko-Iwanicka
Non-Celiac Gluten Sensitivity: A Review
Medicina
non-celiac gluten sensitivity
irritable bowel disease
gluten
FODMAP
wheat allergy
title Non-Celiac Gluten Sensitivity: A Review
title_full Non-Celiac Gluten Sensitivity: A Review
title_fullStr Non-Celiac Gluten Sensitivity: A Review
title_full_unstemmed Non-Celiac Gluten Sensitivity: A Review
title_short Non-Celiac Gluten Sensitivity: A Review
title_sort non celiac gluten sensitivity a review
topic non-celiac gluten sensitivity
irritable bowel disease
gluten
FODMAP
wheat allergy
url https://www.mdpi.com/1010-660X/55/6/222
work_keys_str_mv AT annaroszkowska nonceliacglutensensitivityareview
AT martapawlicka nonceliacglutensensitivityareview
AT annamroczek nonceliacglutensensitivityareview
AT kamilbałabuszek nonceliacglutensensitivityareview
AT barbaranieradkoiwanicka nonceliacglutensensitivityareview