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Treatment with a strict gluten\u2010free diet improves symptoms and mucosal damage but is not curative and low\u2010level gluten intake is common despite strict attempts at adherence. Regular follow\u2010up after diagnosis is considered best\u2010practice however this is executed poorly in the community with the problem compounded by the paucity of data informing optimal approaches. The aim of dietary treatment is to resolve symptoms, reduce complication risk and improve quality of life. It follows that the goals of monitoring are to assess dietary adherence, monitor disease activity, assess symptoms and screen for complications. Mucosal disease remission is regarded a key measure of treatment success as healing is associated with positive health outcomes. However, persistent villous atrophy is common, even after many years of a gluten\u2010free diet. As the clinical significance of asymptomatic enteropathy is uncertain the role for routine follow\u2010up biopsies remains contentious. Symptomatic non\u2010responsive coeliac disease is common and with systematic follow\u2010up a cause is usually found. Effective models of care involving the gastroenterologist, dietitian and primary care doctor will improve the consistency of long\u2010term management and likely translate into better patient outcomes. Identifying suitable treatment targets linked to long\u2010term health is an important goal.<\/jats:p>","DOI":"10.1111\/apt.16847","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T11:14:58Z","timestamp":1657538098000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Review article: Follow\u2010up of coeliac disease"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7687-9654","authenticated-orcid":false,"given":"J. 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