Colecistitis aguda litiásica como presentación excepcional de enfermedad celíaca

Bertrand, Laurence; Ortiz, L. Ortiz; Chazarra, Carolina Torres; Blanquer, F. Aleixandre; Septien, I. Ortiz; Cantó, V. Esteban; Cerdá, Jorge

doi:10.1157/13090905

Cited by 1 publication

(1 citation statement)

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“…Indeed, only one case report described a child diagnosed with CD after developing acute calculous cholecystitis [ 55 ]. Very recently, Agin et al investigated the frequency of gallstones in children with CD.…”

Section: Is There Any Clinical Implication Of Gallbladder Dysfunction...mentioning

confidence: 99%

Celiac Disease and Gallbladder: Pathophysiological Aspects and Clinical Issues

et al. 2022

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Background: Celiac Disease (CD) is an immune-mediated disorder which primarily affects the small intestine; however, extra-intestinal organs are often affected by the pathological process, too. As regards the digestive system, liver alterations in CD patients have been widely described, which can also extend to the biliary tract. Notably, gallbladder function can be altered in CD patients. In this review, we specifically analyze and summarize the main pathophysiological aspects and clinical evidence of gallbladder dysfunction in CD patients, in order to discuss the potential medical complications and clinical research gaps. In addition to some perturbations of bile composition, CD patients can develop gallbladder dysmotility, which mainly expresses with an impaired emptying during the digestive phase. The main pathophysiological determinant is a perturbation of cholecystokinin secretion by the specific duodenal enteroendocrine cells in response to the appropriate nutrient stimulation in CD patients. This situation appears to be reversible with a gluten-free diet in most cases. Despite this gallbladder impairment, CD patients do not seem to be more predisposed to gallbladder complications, such as calculous and acalculous cholecystitis. However, very few clinical studies have actively investigated these clinical aspects, which may not be completely evidenced so far; alternatively, the substantial improvements in the last two decades regarding CD diagnosis, which have reduced the diagnostic delay (and related dietary treatment), may have lessened the potential clinical consequences of CD-related gallbladder dysfunction. Specific clinical studies focused on these aspects are needed for a better understanding of the clinical implications of gallbladder alterations in CD patients.

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Section: Is There Any Clinical Implication Of Gallbladder Dysfunction...mentioning

confidence: 99%