Stanford pediatric gastroenterologist responds to your questions on celiac disease

New Rochelle-Based Gastroenterologist Joins White Plains…

Mylea Charvat asks: With celiac will I ever be able to eat regular pastas and breads again? Is there any research into medication to help those diagnosed with celiac disease digest and tolerate gluten? I wish there were better news for the here and now. Unfortunately, as you know, a strict gluten-free diet a for now a is the only treatment option for celiac disease. Regular pastas and breads are definitely hard to give up, especially if you really enjoy them. With that said, many laboratories around the world are evaluating different strategies to offer celiac patients more therapeutic options in the future. One hopeful approach is aglutenase therapya where an enzyme could break down the gluten and render it non-toxic. Other working ideas include: blocking the immune reaction (i.e., auto-antibodies) through an ingestible polymeric resin, adesensitizinga the bodyas immune system response to gluten via serial protein-based injections and developing a celiac vaccine. Looking ahead, it is conceivable that celiac patients will one day be able to eat gluten-containing foods, but definitive alternatives to gluten avoidance are not yet ready for general consumer use. Antonio Ruben Murcia Prieto asks: What aboutAoats for celiac disease? The topic of oats is very much an evolving discussion among celiac experts. Generally, oats are an excellent source of good nutrients, including vitamins, minerals and antioxidants, and dietary fiber, such as soluble beta-glucans. They are high in protein, and are even thought to help maintain steady insulin levels. The working idea is that the biochemical nature of oats is gluten-free, but the manufacturing process of oats contaminates it with a common cereal protein called prolamins , which are found in wheat, barley and rye containing seeds that celiac patients have to avoid. One group of investigators analyzed 134 oat grains from various manufacturers in the U.S., Canada, and Europe, and they found that only 25 samples were uncontaminated by prolamins, and the majority of samples tested exceeded the threshold for what would be considered gluten-free.

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Dr. Gendler is board certified in Internal Medicine and Gastroenterology. Dr. Gendler served as the chief the Division of Gastroenterology at Sound Shore Medical Center of Westchester since 1992, where he also held the title of Director of the Division of Gastroenterology Fellowship program. He is Associate Professor of Clinical Medicine at the New York Medical College/ Westchester Medical Center and is also an active member of the faculty at New York Medical College, where he teaches second year medical students and where he has twice been selected as Teacher of the Year by the medical residents. Dr. Gendler is widely published and a frequent presenter at national and international conferences. He has been named many times in Westchester Magazines and Castle Connollys Top Doctors editions. Dr. Gendler specializes in digestive diseases and pancreatic/biliary endoscopy (ERCP) and has performed over 17,000 endoscopies in his 25 year career. Dr. Gendlers office will be located at 1296 North Avenue in New Rochelle. For appointments and more information on his practice, call (914) 235-9333. About White Plains Hospital White Plains Hospital (WPH) is a 292-bed voluntary, not-for-profit health care organization with the primary mission of offering high quality, acute health care and preventive medical care to all people who live in, work in or visit Westchester County and its surrounding areas. Centers of Excellence include the Dickstein Cancer Treatment Center , The William & Sylvia Silberstein Neonatal & Maternity Center , The Ruth and Jerome A. Siegel Stroke Center and The Westchester Orthopedic Institute .

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