The Role of Celiac Disease in Severity of Liver Disorders and Effect of a Gluten-Free Diet on Diseases Improvement


avatar Mohammad Rostami-Nejad 1 , avatar Thea Haldane 2 , avatar David AlDulaimi 2 , avatar Seyed Moayed Alavian 4 , avatar Mohammad Reza Zali 1 , avatar Kamran Rostami 5 , *

Department of Celiac Disease, Gastroenterology and Liver Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Department of Gastroenterology, Alexandra Hospital, Worcestershire, UK
Middle East Liver Disease Center, Tehran, IR Iran
Department of Gastroenterology, Darent Valley Hospital, Darenth Wood Road, Dartford, UK

how to cite: Rostami-Nejad M, Haldane T, AlDulaimi D, Alavian S M, Zali M R, et al. The Role of Celiac Disease in Severity of Liver Disorders and Effect of a Gluten-Free Diet on Diseases Improvement. Hepat Mon. 2013;13(10):11893. doi: 10.5812/hepatmon.11893.



Celiac disease (CD) is defined as a permanent intolerance to ingested gluten. The intolerance to gluten results in immune-mediated damage of small intestine mucosa manifested by villous atrophy and crypt hyperplasia. These abnormalities resolve with initiationa gluten-free diet.

Evidence Acquisition:

PubMed, Ovid, and Google were searched for full text articles published between 1963 and 2012. The associated keywords were used, and papers described particularly the impact of celiac disease on severity of liver disorder were identified.


Recently evidence has emerged revealingthat celiac disease not only is associated with small intestine abnormalities and malabsorption, but is also a multisystem disorder affecting other systems outside gastrointestinal tract, including musculo-skeletal, cardiovascular, and nervous systems. Some correlations have been assumed between celiac and liver diseases. In particular, celiac disease is associated with changes in liver biochemistry andlinked to alter the prognosis of other disorders. This review will concentrate on the effect of celiac disease and gluten-free diets on the severity of liver disorders.


Although GFD effect on the progression of CD associated liver diseases is not well defined, it seems that GFD improves liver function tests in patients with a hypertransaminasemia.

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