IS THE BIOPSY NECESSARY? ARGUMENTS IN SUPPORT

Key words: Intestinal biopsy, ESPGHAN criteria

Usually the diagnosis of celiac disease is an easy task, thanks to the availability of good serology tests and to the intestinal biopsy, which represents a precious chance of looking at the gluten toxicity right in the gut. Although the significant improvement in the research field, biopsy is still required by the international protocol, in particular according to the ESPGHAN criteria. Intestinal biopsy offers the advantage of avoiding the gluten challenge and of promoting a better diet compliance, by giving a certain diagnosis. Moreover the biopsy can be useful in denying those cases in which a wrong diagnosis of celiac disease was put.