Znalazłam następującą dyskusję w ramach AOECS na powyższy temat (wklejam po angielsku, jeśli ktoś ma chęć może przetłumaczy?):
"In the Czech republic, there is no systematic national-wide screening methodology of CD yet. A proposal of screening method based on blood tests (tTg antibodies) was prepared in the 2005 by prof Fric (Frič), but this was not realised.
In last two years, another group (Uteseny et al / Utěšený) propose "new" methodology, based on ultrasound (ultrasonic) method, used for diagnostics of CD in abdomen area. This methodology was tested in one region of the Czech republic in 2007.
In these days, introduction of the later mentioned - ultrasound screening methodology - as an alternative of enterobiopsy in FINAL PROVE of CD and national wide screening is discussed very intensively. (Patient would choose, whether diagnosed using ultrasonic or enterobiopsy).
We have issued proclamation of almost all czech gastroenterologic authorities, saying that
this is not "step in the right direction", but it also did not help. (Argument no prospective clinical study proving the possibility of replacement of histilogical duodenal biopsy with ultrasonic examination of intestine in diagnosis and screening of celiac disease).
Does any other society have experience with ultrasonic diagnosis (or any other alternative of screening/diagnostic)?"
Odpowiedzi na to :
(lekarz ze Słowenii, z ośrodka zajmującego się celiakią):
"Current diagnostic critera of both ESPGHAN and NASPGHAN
do not consider ultrasound (USG) to be a very usefull diagnostic tool. There have been several studies which proved this method to be of some value, however due to its relative low sensitivity, not a superb specificity, as well as because of its high demand for medical system and time consumption, it probably will not be of huge benefit, especialy if we consider a great development in serology."
(opinia z Belgii):
"I asked prof Chris Mulder, who is our national expert on CD whether this might be a reliable alternative to EMA or tTG antibodies and his answer was:
it's higly unlikely this will work."
Zatem sprawa jest bardzo ciekawa, ale na razie nierozstrzygnięta ze względu na niską czułość badania, na pewno nie jest to metoda, którą pochwalają wszyscy lekarze, zdania są podzielone, ale pożyjemy, zobaczymy
!
