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March 1973

Coeliac Disease.

Arch Intern Med. 1973;131(3):472. doi:10.1001/archinte.1973.00320090162034

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This small volume contains the papers and subsequent discussions presented at an International Conference on Coeliac Disease held at the Royal Postgraduate Medical School, London, in 1969. The contents, while interesting and well-presented for the most part, may leave the reader somewhat more confused than informed. The final paper, "What is Coeliac Sprue?", might have been better placed at the beginning of the volume, since it could well have been a harbinger of what is to follow. The discussion of the definition of sprue after this presentation apparently was long and detailed; it was only summarized. But it did reveal that all discussants did not agree on the extent of tissue injury of the small intestine necessary for a diagnosis, or on the definition of the "unequivocal response" to treatment with a glutenfree diet. Apparently there was some resistance to the idea of refeeding gluten after successful treatment, with the

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