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At the heart of general practice since 1960

Five-minute refresher - coeliac disease

In the first of a new series, gastroenterologists Professor David Sanders and Dr Peter Mooney set out the pathway for patients with coeliac disease.

Click on the file to the right to download a large, printable version of this flowchart.


Coeliac disease flowchart

Professor David Sanders is professor of gastroenterology and a consultant gastroenterologist, and Dr Peter Mooney is a clinical resarch fellow in gastroenterology, at Royal Hallamshire Hospital

Coeliac UK’s Awareness Week will take place on 11-17 May and focus on reaching those currently living with undiagnosed coeliac disease in the UK. Information for the general public and a new self-assessment tool can be found at

Readers' comments (4)

  • Excellent flow chart advice for common stuff. NICE could help us out here.

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  • useful advice - but a note of caution. I am not convinced about the reported high prevalence of coeliac disease in the population. I have been testing the above risk groups frequently over recent years - especially iBS and iron deficiency - and the yield has been poor. I would be interested to know the Number Needed to Test for a positive case and the evidence that screening this potentially large group of patients is cost effective. I'm sure NICE has the answer but I cant be bothered wading through the reams of guidance to be honest.

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  • The most common bowel condition seen by GP's is off course IBS - and I look forward to a flowchart incorporating the new faecal calprotectin test - which can be used as a screening tool for inflammatory bowel disease.

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  • excellent advice

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