Question

A 45-year-old woman presents with recurrent epigastric pain and diarrhoea. Coeliac serology (tTG-IgA) is strongly positive, and duodenal biopsy confirms villous atrophy. What is the mainstay of long-term management?

Accepted Answer

Lifelong strict gluten-free diet

Answer

Lifelong proton pump inhibitor therapy

Answer

Intermittent corticosteroids for flares

Answer

Helicobacter pylori eradication therapy

Answer

Pancreatic enzyme supplementation

Practice question

A 45-year-old woman presents with recurrent epigastric pain and diarrhoea. Coeliac serology (tTG-IgA) is strongly positive, and duodenal biopsy confirms villous atrophy. What is the mainstay of long-term management?