Maria Zamparella (Italy)
ASL Bari - GP OFFICE
Distretto unico Bari
GP ASL Bari and Specialist for private activity in Gastroenterology. Coordinator of Bari ASL District Already, CTS Component for ASL BA Training Councilor, Deputy Secretary and Executive Member of the FIMMG Board of Directors (Province of Bari ) Former President of the Training and Research Society for General Medicine Advisor for the Scientific Gastroenterological Society Former Member of the Training Area SIMG Bari. Head of Training for Teaching and Tutors of the Scientific Society SIICP Coordinator for Interdisciplinary Seminar Activities of Bari and scientific coordinator for MG Specialization Member of Scientific Committee / ECM Secretariat Provider "FNOMCeO/OMCeO Clinical-Experimental Thesis Advisor (for the Diploma and Qualification for General Medicine Designer and scientific manager of various Master courses for training in GP. Scientific coordinator in University Master (LUM) accredited by MIUR academic year 2016-2017 - Methods and Tools for learning to teach General Medicine: strategies and techniques"MAVES" International scientific publications: over 50 abstracts, 10 articles in indexed journals, 8 papers / articles in pubMed - Publication, as co-author, of the book "Continuità Assistenziale" and Publication in progress of the book "General Medicine, from training to clinical practice" - Former Bord of the scientific magazine "Medic @ live Magazine" - Refere "Thesis Award Commission" - Order of Doctors - Bari - OMCeO Bari “Gender Medicine Observatory” component - SIICP member (Italian Interdisciplinary Society for Primary Care) - Member of working tables of Ministry of Health (promotion of physical activity and the protection of health in sporting activities) and Superior Institute of Health (Committee of the CCM Project)

Presenter of 1 Presentation

 Conference Calendar

AN ITALIAN STUDY ASSESSING THE POPULATION PREVALENCE OF SELF-REPORTED GLUTEN SENSITIVITY IN PRIMARY CARE

Session Name
0200 - SPECIAL GROUPS OF PATIENTS (ID 22)
Date
07.07.2021, Wednesday
Session Time
10:30 AM - 12:00 PM
Room
Hall 6
Presenter
Lecture Time
10:52 AM - 11:03 AM
Session Icon
Pre-Recorded with Live Q&A

Abstract

Abstract Body

BACKGROUND AND PURPOSE:

Reports suggest that gluten sensitivity exists in the absence of coeliac disease (CD). This clinical entity has been termed

non-coeliac gluten sensitivity (NCGS). No data are available in primary care.

To determine the population prevalence of self-reported NCGS in primary care.

METHODS:

A population-based questionnaire screened for NCGS and related symptoms was administered to 18.624 patients of 14 General Practitioners’ clinics, aged >6 years living in the area of Bari. The questionnaire was self administered and blinded.

RESULTS:

2301 out of the total of 4500 (51%) questionnaires were recovered. Overall, 275 patients (8,4%; F:59%; mean age: 49 years referred a gluten related symptoms (mainly GI related) with a rapid onset after meals (39% of cases within six hours) and lasting from 6 months (74% of cases). First suspicion of gluten-related syntoms was placed from GPs (48%),45% self-diagnosis. 67% consulted a specialist: the majority ask an opinion to dieticians (33%), while 31% to the general doctors. 23% had diagnosed CD, 1% WA, 13% NCGS and 66% nothing. 55% underwent blood tests,42% endoscopy. 60% patients followed a gluten free diet (GFD): 24% continued it with benefit.

CONCLUSIONS:

Self-reported NCGS is commonly reported in primary care mainly in female adults, with symptoms suggesting irritable

bowel syndrome. GFD is often initiated without specialist consultation. This data stress the need to define a well defined

informative campaign and diagnostic protocol to counsel patients of GPs.

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