For refering physicians:  Our division is supporting  individual online case consultation through eCASE (http://www.raceconnect.ca/ecase/). This can serve as an alternative to a standard non-urgent referral given our extensive waitlist.

NEW PROCESS 2023 for celiac referrals

Patients who have two readings of tTG > 10 ULN (spaced by 1 month) are considered to meet non-biopsy diagnosis criteria for celiac disease with an accuracy of > 95% . Referred patients will be reviewed by our dietitians and teachings related to gluten free diet will take place.

Patients with tTG > 2 ULN and < 10 ULN should still go on to have upper endoscopy and biopsies. It is important these patients remain on a gluten containing diet. 

Patients with tTG readings < 2 ULN should should be followed with serial readings and should not implement a gluten free diet‎

NAPSGHAN Clinical Report on the Diagnosis and Treatment of Gluten related Disorders - JPGN 2016

NASPGHAN - Diagnosis and Treatment of Celiac Disease in Children - Clinical Practice Guideline Summary - 

As fo 2023 - only patients with red flags along with their abdominal pain can be accepted for review

Canadian Pediatric Society - Managing functional Constipation in children - Reaffirmed 2014

Constipation - NASPGHAN Care Package

North American Society of Pediatric Gastroenterology, Hepatology and Nutrition - Evaluation and Treatment of Functional Constipation in Infants and Children: Evidence-Based recommendations from ESPGHAN and NASPGHAN - 2014

NASPGHAN 2017 - Evaluation of Cholestatic Jaundice in Infants