RT Journal
A1 Kittisupamongkol W
T1 TEsting for celiac disease in patients with symptoms of irritable bowel syndrome
JF JAMA
JO JAMA
YR 2009
FD March 18
VO 301
IS 11
SP 1126
OP 1126
DO 10.1001/jama.2009.272
UL http://dx.doi.org/10.1001/jama.2009.272
AB 
I disagree with this approach. Tests for celiac disease should be made in any patients who fulfill Rome criteria with diarrhea-predominant IBS.2 Such a syndrome is associated with poorly responsive celiac disease and one of the indications for serological screening of celiac disease.3 Even in a population with low prevalence of celiac disease, it can be cost-effective to screen for this disorder in patients with suspected IBS.4