Wait‐and‐see approach or gluten‐free diet administration—the rational management of potential coeliac disease

Abstract

Potential celiac disease (PCD) is a heterogeneous disease; only some patients develop full celiac disease (CD), characterised by advanced atrophic changes in the small intestine. Few accurate prognostic factors exist for the progression of PCD; therefore, therapeutic decisions should be made on an individual basis in each case. Patients with clinical gastroenterological or parenteral symptoms often benefit from a gluten‐free diet, and those left on a diet containing gluten should receive clinical, serological and histopathological supervision.