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Do kids need an endoscopy for celiac disease?
We aren't sure if my son has celiac disease or a sensitivity to gluten. Does he definitely need an endoscopy if celiac disease is suspected, or is there another way of diagnosis?
8 Answers
Endoscopy with biopsy of the small intestine is part of the gold standard for diagnosis of celiac.
No.
An upper GI endoscopy with duodenal biopsies is considered to be the gold standard for diagnosis of Celiac disease.
There are blood test than can rule out celiac disease. However an endoscopy plus biopsy are the must definitive for the diagnosis.
Yes. The recommendations are to do an endoscopy to confirm the diagnosis and rule out other conditions that could create false positive celiac serologies (blood tests). If the Celiac serologies are negative, then he most likely does not have Celiac disease. There is no test for gluten sensitivity.
There is a very good blood test to screen for actual celiac disease. However, the definitive test to make the diagnosis is endoscopy with biopsy of the small intestine.
Mark R. Corkins, M.D.
Your kid will have to do a blood test for celiac disease and if positive will then need an upper gastrointestinal endoscopy with biopsies to confirm the diagnosis of celiac disease.
You can get antigluten antibody blood test but most GI doctors still want to scope to see the level of inflammation before treatment