Eat to Heal . . .
the Cure is Food!
Overview
 Celiac Disease
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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”
Anorexia
Diarrhea
Bloating/Gas
Vomiting
Constipation
Lactose intolerance
Abdominal pain
Pale or Foul Smelling Stool
Weight Loss/Muscle Wasting
The “Celiac Iceberg” (cont’d)
“Non-Classic Symptoms”
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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 Center
at
Barnabas Health
MISSION
To provide expert services
including early assessment, diagnosis,
treatment, education and support
to improve the health and well-being
of those who live with Celiac Disease
Serving Barnabas Health
Screening
Programs
Pharmacy
Services
Lifestyle
Management
GI Endoscopy
Services
Events
Kickoff & Annual
GI Panel
Pediatric/Adult
ONGOING SUPPORT,
EDUCATION, MANAGEMENT
AND ADVOCACY
Nutrition Counseling
& Education
On-site Lab
Bone
Densitometry
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!