GI / Hepatology
Coeliac Disease Workup
NICE NG20 — serology (anti-tTG IgA + total IgA), biopsy confirmation, gluten-free diet, surveillance for complications.
Source: NICE NG20; BSG 2014
Step 1 of ~4
info
Who to Test (NICE NG20)
Test if any: persistent unexplained GI symptoms (diarrhoea, bloating, abdominal pain), iron-deficiency anaemia, faltering growth, fatigue, autoimmune disease (T1DM, thyroid, IBS-like), first-degree relative with coeliac, dermatitis herpetiformis, infertility / unexplained subfertility, recurrent miscarriage.
MUST be on gluten-containing diet (≥10 g gluten / ≥4 slices bread per day for ≥6 weeks) before testing.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Natalizumab · Disease-Modifying Therapy — MS (Anti-VLA-4 Monoclonal Antibody)
- Inebilizumab (Anti-CD19 — IgG4-Related Disease) · Anti-CD19 Monoclonal Antibody (B-Cell Depleting)
- Trimetazidine · Metabolic Anti-Anginal
- Isotretinoin · Systemic retinoid (Vitamin A derivative) / Anti-acne
- Dapsone · Anti-inflammatory / Antimicrobial
- Methotrexate (Dermatology — Psoriasis) · Disease-Modifying Antirheumatic / Immunosuppressant
Pathways
- Lower Gastrointestinal Bleed · BSG 2019; NICE NG141
- Variceal Upper GI Bleed · BSG 2015; Baveno VII (2022)
- Spontaneous Bacterial Peritonitis (SBP) · BSG / EASL 2018
- Hepatorenal Syndrome · EASL 2018; ICA 2015
- Hepatic Encephalopathy · EASL 2014; West Haven criteria
- Clostridioides difficile Colitis · NICE NG199 (2021); IDSA/SHEA 2021
Decision support only. Always apply local guidelines and clinical judgement.