Denis Chang

Source: American Academy of Pediatrics. Landmark study showing that TTG in isolation is not sufficient to diagnose#celiac disease ⁦@MayoClinicKids⁩ ⁦@VanessaWeisbrod⁩ ⁦@DenisChangMD⁩ share.google/GLLb0PvCesg337…

@JPGNonline Thank you @JPGNonline for highlighting our study! Great collaboration w Nina Gluchowski @UVMMedCenter and our pathology colleagues. @SilvanaBonilla_

Study on Helicobacter heilmannii gastritis in New England #children reveals abdominal pain, nausea as common symptoms. Similar findings to #Hpylori, but eradication rates below recommended levels. @DenisChangMD bit.ly/3V70JTm

Perfect for #Celiac Awareness Day! What do you do when you’re evaluating a child for possible celiac disease when they’ve already limited gluten? Clinician’s Guide to Gluten Challenge : Journal of Pediatric Gastroenterology and Nutrition journals.lww.com/jpgn/abstract/…

@JackieJossen @PedsGIChat @VanessaWeisbrod 👆💯 @JackieJossen since there is no "perfect" test for dz monitoring, all those factors are essential, including assessing impact on QoL and how to provide ongoing support esp. for those newly dx

@PedsGIChat @VanessaWeisbrod Follow up for #celiac is so important Clinically ask about symptoms, monitor growth, assess #risk taking and adherence to #glutenfree diet, monitor #nutrition

Last Question. How do you recommend monitoring patients with #celiacdisease? Labs? Rebiopsy? @JackieJossen, @VanessaWeisbrod #NASPGHAN #celiacdisease #glutenfreediet #GITwitter #MedTwitter #PedsGIChat

@PedsGIChat @JackieJossen @VanessaWeisbrod ❌misconception: a ➕tTG IgA means you have celiac dz While #celiac should be on your DDx, there are many other causes for ⬆️tTG IgA incl. other autoimmune dz (eg. IBD or having T1DM) or transient elevations/false ➕s. Proper evaluation by a specialist is 🔑 to a ✅dx

Q5. What are the top 2 misconceptions you hear from families or other providers about #celiacdisease? @JackieJossen, @VanessaWeisbrod #NASPGHAN #celiacdisease #glutenfreediet #GITwitter #MedTwitter #PedsGIChat

@CeliacDoc @JackieJossen @PedsGIChat @VanessaWeisbrod @GILady323 @MarisaStahl1 @ImadAbsah @SinghMD33 @CeliacKate My experience is similar to @CeliacDoc - not often. I recommend biopsy as that remains the gold standard and as North American assays are different from those used in Europe, in addition to the inter/intraassay variability. pubmed.ncbi.nlm.nih.gov/31546060/

@JackieJossen @PedsGIChat @VanessaWeisbrod @GILady323 @MarisaStahl1 @DenisChangMD @ImadAbsah @SinghMD33 @CeliacKate Not very often - maybe 5%- most want biopsy confirmation of this lifelong disease #celiac

Q3. What are the #recommendations on #nonbiopsy diagnosis vs. #biopsy diagnosis? @JackieJossen, @VanessaWeisbrod #NASPGHAN #celiacdisease #glutenfreediet #GITwitter #MedTwitter #PedsGIChat

@SSCDCeliac Previously, yes. But studies incl. the one by Dr. Habash and @ImadAbsah have led me to change my practice.

Providers: When you make a new #celiac diagnosis do you screen for hepatitis B immunity? #celiacchat

Welcome to our March 2022 @SSCDCeliac #CeliacChat. Topic: Celiac Disease & the Risk of Hepatitis B Infection Thank you to our physician host @ImadAbsah! Please use tags #CeliacChat Patients/Community, use #patientexperience #GIMedTwitter #MedTwitter