Article Text

Download PDFPDF

Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology
  1. Jonas F Ludvigsson1,2,
  2. Julio C Bai3,
  3. Federico Biagi4,
  4. Timothy R Card5,
  5. Carolina Ciacci6,
  6. Paul J Ciclitira7,
  7. Peter H R Green8,
  8. Marios Hadjivassiliou9,
  9. Anne Holdoway10,
  10. David A van Heel11,
  11. Katri Kaukinen12,13,14,
  12. Daniel A Leffler15,
  13. Jonathan N Leonard16,
  14. Knut E A Lundin17,
  15. Norma McGough18,
  16. Mike Davidson19,
  17. Joseph A Murray20,
  18. Gillian L Swift21,
  19. Marjorie M Walker22,
  20. Fabiana Zingone23,
  21. David S Sanders24,
  22. Authors of the BSG Coeliac Disease Guidelines Development Group
  1. 1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
  2. 2Department of Paediatrics, Örebro University Hospital, Örebro, Sweden
  3. 3Department of Medicine, Dr C. Bonorino Udaondo Gastroenterology Hospital, Del Salvador University, Buenos Aires, Argentina
  4. 4Coeliac Centre/1st Department of Internal Medicine, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  5. 5University of Nottingham, Department of Epidemiology and Public Health, Nottingham City Hospital, Nottingham, UK
  6. 6Department of Medicine and Surgery, University of Salerno, Salerno, Italy
  7. 7Gastroenterology, Division of Nutritional Sciences, King's College London, The Rayne Institute, St Thomas Hospital, London, UK
  8. 8Coeliac Disease Center at Columbia University, New York, New York, USA
  9. 9Department of Neurology, Royal Hallamshire Hospital, Sheffield, UK
  10. 10Registered dietitian and representative of the British Dietetic Association, Bath, Somerset, UK
  11. 11Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
  12. 12School of Medicine, University of Tampere, Tampere, Finland
  13. 13Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland
  14. 14Department of Medicine, Seinäjoki Central Hospital, Finland
  15. 15Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
  16. 16Department of Dermatology, Imperial College NHS Healthcare Trust, St Mary's Hospital, London, UK
  17. 17Department of Gastroenterology, Centre for Immune Regulation, Oslo University Hospital Rikshospitalet, Oslo, Norway
  18. 18Coeliac UK, Apollo Centre, London, UK
  19. 19Patient Representative & Regional Chairman for Coeliac UK, Sheffield, UK
  20. 20Division of Gastroenterology and Hepatology, Department of Immunology Mayo Clinic, Rochester, Minnesota, USA
  21. 21Department of Gastroenterology, University Hospital Llandough, Wales, UK
  22. 22Anatomical Pathology, University of Newcastle, Faculty of Health and Medicine, School of Medicine & Public Health, Callaghan, Australia
  23. 23Department of Medicine and Surgery, University of Salerno, Salerno, Italy
  24. 24Gastroenterology and Liver Unit, Royal Hallamshire Hospital & University of Sheffield, Sheffield, UK
  1. Correspondence to David S Sanders, Gastroenterology and Liver Unit, Royal Hallamshire Hospital & University of Sheffield, Sheffield S10 2JF, UK; david.sanders{at}


A multidisciplinary panel of 18 physicians and 3 non-physicians from eight countries (Sweden, UK, Argentina, Australia, Italy, Finland, Norway and the USA) reviewed the literature on diagnosis and management of adult coeliac disease (CD). This paper presents the recommendations of the British Society of Gastroenterology. Areas of controversies were explored through phone meetings and web surveys. Nine working groups examined the following areas of CD diagnosis and management: classification of CD; genetics and immunology; diagnostics; serology and endoscopy; follow-up; gluten-free diet; refractory CD and malignancies; quality of life; novel treatments; patient support; and screening for CD.

  • Coeliac Disease
  • Gluten
  • Gluten Free Diet
  • Small Bowel Disease

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.