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Frequency of Endoscopies

Question:

My 15-year-old daughter has celiac, Crohn’s disease, and colitis.  How often should she be scoped? It’s been almost a year. 

From,

Ann

Answer:

Dear Ann,

There are no strict criteria for pediatric celiac disease or inflammatory bowel disease in terms of frequency of endoscopy.  It is very much dependent upon the particular patient scenario.  If both the celiac disease and the IBD are well controlled (lack of symptoms, normal celiac panel, normal inflammatory markers, etc.), there may not be an indication to scope. I would recommend that your daughter be seen by her gastroenterologist at least every 4-6 months. The decision to scope should be left up to the gastroenterologist and should be dependent upon clinical symptoms and blood work.

Sincerely,

Center for Celiac Disease at The Children's Hospital of Philadelphia

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