Childhood coeliac disease: diagnostic pathways update.

The modification of European guidelines now enables coeliac disease to be diagnosed without a small-bowel biopsy in a selective group of symptomatic children. The recommendations have been adopted by the Coeliac UK and the British Society of Paediatric Gastroenterology, Hepatology and Nutrition. As well as highlighting how health professionals can help identify coeliac disease at an earlier stage, this article details the amendments to the guidance and the diagnostic pathways that should be followed.