Strict gluten-free diet effective in coeliac disease

Patients with coeliac disease who adhere to a strict gluten-free diet for five years can expect to achieve several therapeutic goals, an Australian study shows.

At one year all but two of the 52 participants examined by gastroscopy had improved their mucosal histology (Marsh score) by at least one grade. Over a third (37%) had normal histology at a year and more than half the patients were assessed as having Marsh 0 or 1 histology.

At five years histological results were even