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What is Gluten and Dairy Intolerance? What is the difference between an allergy and intolerance/sensitivity. Latest medical research. Open to the public.
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TOPIC: Effect of GF Diet on Preventing GERD

Effect of GF Diet on Preventing GERD 25 Sep 2009 21:59 #603

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PubMed Article link here

 J Gastroenterol Hepatol 2008 Sep;23(9):1368-72. 
Effect of gluten-free diet on preventing recurrence of gastroesophageal reflux disease-related symptoms in adult celiac patients with nonerosive reflux disease.
Usai P , Manca R , Cuomo R , Lai MA , Russo L , Boi MF .
Gastroenterology Unit, University of Cagliari, Monserrato, CA, Italy. This email address is being protected from spambots. You need JavaScript enabled to view it.

BACKGROUND AND AIM: In celiac disease (CD) the role of a gluten-free diet (GFD) on gastroesophageal reflux disease-related symptoms (GERD-rs) is unclear. The aim of this study was to establish the recurrence of GERD-rs, in CD patients with nonerosive reflux disease (NERD).

METHODS: From a total of 105 adult CD patients observed, 29 who presented with the NERD form were enrolled in the study. Thirty non-CD patients with NERD were studied as controls. Recurrence of GERD-rs was clinically assessed at 6, 12, 18, and 24 months follow-up (FU) after withdrawal of initial proton-pump inhibitor (PPI) treatment for 8 weeks.

 RESULTS: GERD-rs were resolved in 25 (86.2%) CD patients and in 20 (66.7%) controls after 8 weeks of PPI treatment. In the CD group, recurrence of GERD-rs was found in five cases (20%) at 6 months but in none at 12, 18, and 24 months while in the control group recurrence was found in six of 20 controls (30%), in another six (12/20, 60%), in another three (15/20, 75%), and in another two (17/20, 85%) at 6, 12, 18, and 24 months FU respectively.

CONCLUSIONS: The present study is the first to have evaluated the effect of a GFD in the nonerosive form of GERD in CD patients, by means of clinical long-term follow-up, suggesting that GFD could be a useful approach in reducing GERD symptoms and in the prevention of recurrence.

PMID: 18853995 [PubMed - indexed for MEDLINE]


Effect of GF Diet on Preventing GERD 26 Sep 2009 03:49 #604

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It's nice to see this is being studied. I'd be nice if they studied GERD/GF in "normal" people to see what the results would be ;)

GERD is what started me on my GF journey. I was Nexium, Prilosec, Zantac, Aciphex at various points in time. My doc had me on 2 meds at once for awhile.

After stopping gluten, I was able to stop GERD meds.

Effect of GF Diet on Preventing GERD 26 Sep 2009 10:31 #605

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Hi Al,

I was asked a question about Celiac & GERD on Twitter, however I saw a study somewhere where they were they were testing for Celiac in those with GERD/NERD, they were finding a small percentage of Celiac but I wonder how many non-celiac gluten sensitive people they would find. I bet it would be a LOT higher. I need to go look for that study.
Here's that Study, approx 1% of GERD patients were found to have Celiac, but 12% were suspected to have Celiac (my bet was they were gluten-sensitive)

Should we screen reflux oesophagitis patients for coeliac disease?

Eur J Gastroenterol Hepatol. 2004 Sep;16(9):917-20.

Collin P , Mustalahti K , Kyrönpalo S , Rasmussen M , Pehkonen E , Kaukinen K .

Department of Medicine, Tampere University Hospital, University of Tampere, Finland. This email address is being protected from spambots. You need JavaScript enabled to view it.

OBJECTIVES: Oesophagitis and gastro-oesophageal reflux have been implicated recently in the manifestations of coeliac disease. The aim was to investigate this association in a primary-care setting.

METHODS: First, the prevalence of coeliac disease was calculated in 1198 adults with oesophagitis, in 2541 adults with reflux symptoms and in 200 adults suffering from dysphagia; 5459 patients with a history consistent with dyspepsia and 709 patients with a suspicion of coeliac disease served as controls. Second, the prevalence of oesophagitis was estimated in 382 untreated and 232 treated coeliac patients; controls here comprised 5404 patients with dyspeptic symptoms and 2525 patients with reflux symptoms. Third, oesophagitis and oesophageal reflux symptoms were investigated before and after a gluten-free diet was followed in 67 adults with coeliac disease. The diagnosis of coeliac disease was based on small-bowel histology; histological exclusion of the disease was unambiguous in all controls. Oesophagitis was identified by endoscopic inspection.

RESULTS: Altogether, 0.9% of patients with oesophagitis and 0.6% of those with oesophageal reflux symptoms had coeliac disease. The corresponding percentages were 1.0% in patients with dyspepsia and 12% with suspicion of coeliac disease. The prevalence of oesophagitis was 5.2% in untreated coeliac disease, 5.6% in treated coeliac disease, 7.0% in patients with dyspepsia, and 27% in symptomatic reflux disease. In coeliac patients, the reflux symptoms were mild but nevertheless were alleviated on a gluten-free diet.

CONCLUSIONS: This study does not support the conception that patients with reflux oesophagitis should be screened vigorously for coeliac disease. The association between these two conditions is, at most, weak, but a gluten-free diet may still bring symptomatic relief for reflux symptoms in coeliac disease.

PMID: 15316418 [PubMed - indexed for MEDLINE]

 

Effect of GF Diet on Preventing GERD 27 Sep 2009 02:44 #606

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Thanks Debra! I vaguely remember seeing this study when I was first researching my reflux issues.

Effect of GF Diet on Preventing GERD 15 Oct 2009 22:35 #607

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Well, to give more proof to this, my husband just tested positive for gluten sensitivity and he had been battling GERD
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