{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T15:37:43Z","timestamp":1770824263297,"version":"3.50.1"},"reference-count":138,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,3,20]],"date-time":"2014-03-20T00:00:00Z","timestamp":1395273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"World Gastroenterology Organization"},{"name":"Asia Pacific Association of Gastroenterology,"},{"name":"Journal of Gastroenterology and Hepatology Foundation"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2014,4]]},"abstract":"Abstract<\/jats:title>Background and Aim<\/jats:title>Once thought to be uncommon in A<\/jats:styled-content>sia, coeliac disease (CD<\/jats:styled-content>) is now being increasingly recognized in A<\/jats:styled-content>sia\u2013P<\/jats:styled-content>acific region. In many A<\/jats:styled-content>sian nations, CD<\/jats:styled-content> is still considered to be either nonexistent or very rare. In recognition of such heterogeneity of knowledge and awareness, the W<\/jats:styled-content>orld G<\/jats:styled-content>astroenterology O<\/jats:styled-content>rganization and the A<\/jats:styled-content>sian P<\/jats:styled-content>acific A<\/jats:styled-content>ssociation of G<\/jats:styled-content>astroenterology commissioned a working party to address the key issues in emergence of CD<\/jats:styled-content> in A<\/jats:styled-content>sia.<\/jats:p><\/jats:sec>Methods<\/jats:title>A working group consisting of members from A<\/jats:styled-content>sia\u2013P<\/jats:styled-content>acific region, E<\/jats:styled-content>urope, N<\/jats:styled-content>orth A<\/jats:styled-content>merica, and S<\/jats:styled-content>outh A<\/jats:styled-content>merica reviewed relevant existing literature with focus on those issues specific to A<\/jats:styled-content>sia\u2013P<\/jats:styled-content>acific region both in terms of what exists and what needs to be done.<\/jats:p><\/jats:sec>Results<\/jats:title>The working group identified the gaps in epidemiology, diagnosis, and management of CD<\/jats:styled-content> in A<\/jats:styled-content>sian\u2013P<\/jats:styled-content>acific region and recommended the following: to establish prevalence of CD<\/jats:styled-content> across region, increase in awareness about CD<\/jats:styled-content> among physicians and patients, and recognition of atypical manifestations of CD<\/jats:styled-content>. The challenges such as variability in performance of serological tests, lack of population\u2010specific cut\u2010offs values for a positive test, need for expert dietitians for proper counseling and supervision of patients, need for gluten\u2010free infrastructure in food supply and creation of patient advocacy organizations were also emphasized.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Although absolute number of patients with CD<\/jats:styled-content> at present is not very large, this number is expected to increase over the next few years or decades. It is thus appropriate that medical community across the A<\/jats:styled-content>sia\u2013P<\/jats:styled-content>acific region define extent of problem and get prepared to handle impending epidemic of CD<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.12514","type":"journal-article","created":{"date-parts":[[2014,1,21]],"date-time":"2014-01-21T03:10:43Z","timestamp":1390273843000},"page":"666-677","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Issues associated with the emergence of coeliac disease in the A<\/scp>sia\u2013P<\/scp>acific region: A working party report of the W<\/scp>orld G<\/scp>astroenterology O<\/scp>rganization and the A<\/scp>sian P<\/scp>acific A<\/scp>ssociation of G<\/scp>astroenterology"],"prefix":"10.1111","volume":"29","author":[{"given":"Govind K","family":"Makharia","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Human Nutrition All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris J J","family":"Mulder","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology & Hepatology VU Medical Center Amsterdam Netherland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khean Lee","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Medicine Malaya University Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vineet","family":"Ahuja","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Human Nutrition All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio C","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Medicine Dr. C. 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