Abstract

GORNATTI, Marco  and  AGUIRRE, María Adela. Gastrointestinal bleeding and complicated celiac disease in anticoagulated patient. Medicina (B. Aires) [online]. 2020, vol.80, n.6, pp.718-721. ISSN 0025-7680.

Celiac disease is considerably frequent in our media. Gluten-free diet shows clinical, serological and endoscopic improvement in most patients shortly after its start. A few patients may present or develop a “complicated celiac disease”, an entity that includes refractory sprue, ulcerative jejunitis and intestinal lymphoma, which carry unfavorable prognoses, requiring more radical treatments. We present here the case of a 77-year-old male patient evaluated in our center, who was admitted for study of acute gastrointestinal bleeding. Complicated celiac disease was diagnosed, systemic corticosteroids were started and a close follow-up was carried out.

Keywords : Celiac disease; Complicated celiac disease; Refractory sprue; ulcerative jejunitis; Enteropathy-associated T-cell lymphoma; Gastrointestinal hemorrhage.

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