European Society for the Study of Coeliac Disease (ESsCD) 2025 Updated Guidelines on the Diagnosis and Management of Coeliac Disease in Adults. Part 2: Management, Follow-Up, and Complex Disease Cours
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- #coeliac disease
- #gluten-free diet
- #refractory coeliac disease
- The 2025 ESsCD guidelines update the 2019 version, focusing on management, follow-up, and complex cases of coeliac disease (CeD) in adults.
- New sections include guidance on oats inclusion, low-FODMAP diets for persistent symptoms, and managing exocrine pancreatic insufficiency.
- Recommendations cover bone-health screening, nutritional and psychosocial support, digital care models, and transition from paediatric to adult services.
- Updated therapeutic strategies for refractory CeD include immunosuppressive and novel pharmacologic options.
- The guidelines aim to optimize clinical outcomes, quality of life, and long-term health through a personalized, multidisciplinary approach.