Publication: The nature and implication of intestinal endocrine cell changes in coeliac disease
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Date
1998
Authors
El-Salhy, M.
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Publisher
Murcia : F. Hernández
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DOI
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info:eu-repo/semantics/article
Description
Abstract
Coeliac disease is associated with intestinal
lesion. This lesion causes architectural derangement of
the mucosa in the form of villus atrophy, increased crypt
length and increased volume of the lamina propria.
Several changes in the intestinal endocrine cells have
been reported over the years, e.g. the number of secretin
cells and increased numbers of GIP, CCKIgastrin,
motilin, and serotonin cells. There is no consensus about
the nature of the changes in somatostatin-cells. It has
been postulated that the changes in the endocrine cells
are a selective process to meet the new demands exerted
by the dramatic decrease in intestinal absorptive area. It
has been speculated further that the changes in the
endocrine cells would cause an incomplete digestion of
the ingested food and its rapid elimination from the
intestine. These changes may be responsible for the
diarrhoea and steatorrhoea that occur in patients with
coeliac disease.
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