eat to heal . . . the cure is food!
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Eat to Heal . . . the Cure is Food!
Overview
Celiac Disease Definition Symptoms and presentations Diagnosis Treatment
The Kogan Celiac Center at Barnabas Health History Support
What is Celiac Disease?
Celiac disease is a permanent, genetic disorder that is characterized by an autoimmune reaction to the ingestion of gluten (a protein found in wheat, rye and barley). This reaction causes damage to the absorptive structures in the small intestine (villi) and ultimately results in: Conditions of malnutrition Potential damage to any organ system
There is no cure, the only known treatment is the complete removal of gluten from the diet.
Epidemiology
Affects all cultures and nationalities 1 in 133 individuals in the U.S. are
believed to have celiac disease. Only a small percentage of individuals
know that they have celiac disease and it has been reported to take up to 11 years to diagnose.
The “Celiac Iceberg”
“Classic Symptoms”AnorexiaDiarrheaBloating/GasVomiting Constipation Lactose intoleranceAbdominal pain Pale or Foul Smelling Stool Weight Loss/Muscle Wasting
The “Celiac Iceberg” (cont’d)
“Non-Classic Symptoms” Failure to thrive in infants Anemia resistant to oral iron therapy Unexplained short stature or delayed puberty Depression, irritability, learning or behavior
disorders Seizures/Neuropathy/Ataxia Recurrent fetal loss (intrauterine growth retardation) Delayed or missed periods, infertility Osteoporosis/osteopenia Oral sores Loss of tooth enamel Vitamin deficiencies
Associated Disorders/Risk Factors
Type 1 Diabetes Thyroiditis Addison’s Disease Primary Biliary
Cirrhosis Autoimmune Hepatitis Rheumatoid Arthritis Sjogren’s Syndrome Down Syndrome Turner’s Syndrome Williams Syndrome
Increased risk of celiac disease in relatives of celiacs: 7-10% primary
relatives 3-5% secondary
relatives
Diagnosis of Celiac Disease
Serology Small Bowel Biopsy
Dermatitis Herpetiformis
Skin manifestation of celiac disease. Itchy, pustules,
bilateral Dx by local skin
biopsy Symptoms respond
to gluten free diet
The Gluten Free Diet Gluten is a storage protein found in
certain grains and is harmful to celiacs These grains, and any ingredient
that comes from them, are eliminated in a gluten free diet Wheat Barley Rye
The Gluten Free Diet (cont’d)
Substitution Foods: bread, pasta, cookies, cakes, crackers
Naturally gluten free food: stir fry, omelettes, chili, risotto
Hidden ingredients Cross Contamination: purchasing,
storing, preparation, serving Nutritionally Complete
The Kogan Celiac Centerat
Barnabas Health
MISSION
To provide expert servicesincluding early assessment, diagnosis,
treatment, education and support to improve the health and well-beingof those who live with Celiac Disease
Serving Barnabas Health
ONGOING SUPPORT, ONGOING SUPPORT, EDUCATION, MANAGEMENTEDUCATION, MANAGEMENT
AND ADVOCACY AND ADVOCACY
GI PanelGI PanelPediatric/Adult Pediatric/Adult
Lifestyle Lifestyle ManagementManagement
On-site LabOn-site LabGI EndoscopyGI Endoscopy
Services Services
Bone Bone Densitometry Densitometry
Nutrition CounselingNutrition Counseling& Education& Education
EventsEventsKickoff & Annual Kickoff & Annual
Pharmacy Pharmacy ServicesServices
ScreeningScreeningProgramsPrograms
Significant initiatives and accomplishments
Recognized by the American Dietetic Association as expert resource for healthcare professionals nationwide
Quoted in major journals, other print media and radio Educated healthcare professionals, nurses and students in
public and private institutions statewide
Implemented gluten free protocol in all food service operations in BH – certified by the National Foundation for Celiac Awareness
Now running adult and pediatric support groups in all 3 locations with total membership in excess of 150 patients
Guest speaker in two webinars broadcasted nationally
Support Remains the ONLY dedicated celiac
center in the state of New Jersey to offer a comprehensive approach to the treatment and management of celiac disease for adults and children Early assessment and diagnosis Screening Services Education and awareness
Patients Healthcare professionals Community
Support Groups
The Kogan Celiac Center
www.koganceliaccenter.com 973-322-7272 JOIN US
EAT TO HEAL!
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