What are the referral criteria for a gastroenterology specialist in cases of suspected Celiac disease?

Refer young people and adults with positive serological test results to a gastrointestinal specialist for endoscopic intestinal biopsy to confirm or exclude coeliac disease ².

Refer children with positive serological test results to a paediatric gastroenterologist or paediatrician with a specialist interest in gastroenterology for further investigation for coeliac disease ².

Refer people with negative serological test results to a gastrointestinal specialist for further assessment if coeliac disease is still clinically suspected ².

Refer if there are persistent symptoms, including diarrhoea, abdominal pain, weight loss, fatigue or unexplained anaemia, despite exclusion of gluten exposure ¹.

Refer if there is suspected non-responsive or refractory coeliac disease ¹.

Refer if there are concerns about ongoing gluten exposure, nutritional deficiencies, or growth impairment ¹.

Refer urgently if there is suspicion of serious complications such as malignancy (e.g., lymphoma, small bowel adenocarcinoma, or pancreatic cancer) ¹.