Arch Dis Child 98:806-811 doi:10.1136/archdischild-2013-303996
  • Guidelines

Joint BSPGHAN and Coeliac UK guidelines for the diagnosis and management of coeliac disease in children

Editor's Choice
  1. Matthew Thorpe14
  1. 1Division of Metabolic and Vascular Health, Warwick Medical School, Coventry, UK
  2. 2Department of Child Health, University Hospital of Wales, Cardiff, UK
  3. 3Department of Paediatric Gastroenterology, Royal Liverpool Children's Hospital, Liverpool, UK
  4. 4Department of Paediatric Gastroenterology, Birmingham Children's Hospital, Brimingham, UK
  5. 5Department of Child Health, Royal Alexandra Hospital for Sick Children, Brighton, UK
  6. 6Department of Dietetics, University Hospital of North Staffordshire, Stoke, UK
  7. 7Department of Paediatric Gastroenterology, Royal Free Hospital, London, UK
  8. 8Department of Paediatric Gastroenterology, Royal Hospital for Sick Children, Edinburgh, UK
  9. 9Department of Paediatric Gastroenterology, Hospital for Sick Children, London, UK
  10. 10Department of Child Health, Epsom and St Helier NHS Trust, St Helier, UK
  11. 11Department of Child Health, North Tees and Hartlepool NHS Trust, North Tees, UK
  12. 12Department of Child Health, Norwich University Hospitals, Norfolk, UK
  13. 13Coeliac UK, High Wycombe, UK
  14. 14Department of Child Health, Royal Cornwall Hospital, Truro, UK
  1. Correspondence to Professor Simon Murch, Division of Metabolic and Vascular Health, Warwick Medical School, Clifford Bridge Road, Coventry CV2 2DX, UK; s.murch{at}
  • Received 14 March 2013
  • Revised 5 June 2013
  • Accepted 29 June 2013
  • Published Online First 28 August 2013


The revised BSPGHAN guidelines for the diagnosis and management of coeliac disease represent an important shift in diagnostic strategy, aimed at simplifying and shortening the diagnostic process in selected cases. Guidance is given concerning the indications for testing for coeliac disease, which is still significantly underdiagnosed in the UK. While screening data suggest a likely incidence of 1 in 100 persons, only 10%–20% of this figure is currently being diagnosed.The BSPGHAN guidelines follow the new ESPGHAN guidelines in overall diagnostic strategy, while providing more didactic stratagems, which should be of assistance for paediatricians in specialties other than gastroenterology.

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