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!