Thursday, November 28, 2013

GI's Announce: Non-Celiac Gluten Sensitivity: The New Frontier of Gluten Related Disorders

This blog is to inform people of the high rate of Gluten sensitivity a condition that causes severe conditions not just in the bowel, from eating gluten whether they have celiac disease or not. It causes a 400% 
increased risk of dying before age 65 while eating gluten, There was a time, until very recently that gastroenterologists argued that the only condition caused by gluten was celiac disease.
Now, in a review published in Nutrition in September 2013, by 23 world experts in Gastroenterology, including Dr. Fasano, they report on Non Celiac Gluten Sensitivity and it's links to irritable bowel syndrome, and neuropsychiatric conditions like autism, ALS, ataxia and schizophrenia.

What is particularly interesting is their discussion that specific carbohydrates found in food contribute to the symptoms of IBS. They validating the work of Dr. Haas and Elaine Gottschall, who since the '50's have treated people with a diet eliminating these carbohydrates and Dr. Campbell- McBride has updated it and called it Gut and Psychology Syndrome diet and protocol. These low-fermentable, poorly-absorbed, short-chain carbohydrates do more than give GI symptoms, but also inhibit healing of the bowel, proper growth of microbiota and without a both in good condition, people don't thrive.
If you are gluten sensitive, you need more than a gluten free diet to heal: gluten free, and free of specific carbohydrates (grain and sugar free, and no dairy) for as long as it takes to correct the microbiota of the gut.

Here is the abstract of the review:

Non Celiac Gluten Sensitivity (NCGS) was originally described in the 1980s and recently a “re-discovered” disorder characterized by intestinal and extra-intestinal symptoms related to the ingestion of gluten-containing food, in subjects that are not affected with either celiac disease (CD) or wheat allergy (WA). Although NCGS frequency is still unclear, epidemiological data have been generated that can help establishing the magnitude of the problem. Clinical studies further defined the identity of NCGS and its implications in human disease. An overlap between the irritable bowel syndrome (IBS) and NCGS has been detected, requiring even more stringent diagnostic criteria. Several studies suggested a relationship between NCGS and neuropsychiatric disorders, particularly autism and schizophrenia. The first case reports of NCGS in children have been described. Lack of biomarkers is still a major limitation of clinical studies, making it difficult to differentiate NCGS from other gluten related disorders. Recent studies raised the possibility that, beside gluten, wheat amylase-trypsin inhibitors and low-fermentable, poorly-absorbed, short-chain carbohydrates can contribute to symptoms (at least those related to IBS) experienced by NCGS patients. In this paper we report the major advances and current trends on NCGS.

Download the full article from this link.

To Your Health

Dr. Barbara