Management of Nonceliac Gluten Sensitivity by Gastroenterology Specialists: Data from an Italian Survey

Abstract EN

Background and Aim.

Nonceliac gluten sensitivity is syndrome characterized by symptoms disappearing after a gluten-free diet.

Its existence is still argument of discussion among specialists.

Our aim was to evaluate the knowledge about nonceliac gluten sensitivity among gastroenterology specialists.

Methods.

During October 2013 a questionnaire was sent through a medical newsletter to Italian gastroenterologists.

Twelve questions investigated their knowledge on nonceliac gluten sensitivity, including their diagnostic and therapeutic approach.

Results.

A total of 212 gastroenterologists filled in the questionnaire.

The 98.6% were aware of the existence of a syndrome called “nonceliac gluten sensitivity” and 77% believe in its existence.

However, only 56% gave a correct definition of the term.

The majority of specialists diagnosed gluten sensitive patients and the number of diagnoses was not statistically different from that of celiac disease.

Moreover, a gluten-free diet was prescribed by 64% of the specialists and among them the 73% noted an increase of gluten sensitive patients attending their outpatient services.

Conclusions.

Our study indicated that most of the specialists recognize nonceliac gluten sensitivity and prescribe gluten-free diet, although 44% of the specialists are not able to give its correct definition; underlining the necessity of medical education on this topic is needed.