£7.99 early bird (£12.99 normally)
75 mins
Adult Coeliac Disease
What’s New in the BSG Guidelines?
Cristian Costas Batlle, Nick Trott
Wednesday 30 September 2026 12:45-14:00 BST
Adult Coeliac Disease
What’s New in the BSG Guidelines?
Cristian Costas Batlle, Nick Trott
Wednesday 30 September 2026 12:45-14:00 BST
£7.99 early bird (£12.99 normally)
75 mins
CONTENT AND LEARNING OBJECTIVES
The British Society of Gastroenterology has updated its guidelines for the diagnosis and management of adult coeliac disease for the first time since 2014. The revised guidance reflects important developments in diagnostic practice, including the introduction of an optional no-biopsy pathway for selected symptomatic adults, alongside updated recommendations for treatment, monitoring and follow-up.
Understanding what has changed, and how the recommendations, good practice statements and expert opinions should be interpreted, is essential for healthcare professionals supporting adults with coeliac disease. The guidelines address both straightforward and more complex diagnostic presentations, including selective IgA deficiency, potential coeliac disease and seronegative coeliac disease. They also clarify duodenal biopsy requirements, the role of gluten challenge and the specific circumstances in which a diagnosis may be made without biopsy.
This webinar will translate the updated guidance into practical, clinically relevant information for day-to-day practice. It will examine the eligibility criteria, safeguards and shared decision-making required when considering the optional no-biopsy pathway, as well as the circumstances in which endoscopy and duodenal biopsy remain necessary.
Attendees will explore the key principles of gluten-free dietary management, treatment goals, adherence assessment and stratified follow-up. The session will also consider nutritional and bone-health monitoring, pneumococcal vaccination, non-responsive and refractory coeliac disease, and when further investigation or specialist referral is required.
We’ll cover:
- Key changes in the updated BSG guidelines
- Diagnosis and the no-biopsy pathway
- Gluten-free dietary management
- Monitoring and follow-up
- Non-responsive and refractory coeliac disease
- Practical implications for clinical practice
Watch this webinar to:
Gain understanding of
- Why the BSG guidelines for adult coeliac disease have been updated, and how the recommendations are graded & structured (recommendations, good practice statements and expert opinions)
- The diagnostic approach, including IgA-tTG as the first-line test, screening for selective IgA deficiency, duodenal biopsy sampling, and the optional no-biopsy pathway in symptomatic adults
- The essentials of ongoing management: the gluten-free diet (including gluten-free oats), assessing adherence, and a stratified approach to follow-up
Be aware of
- The less straightforward diagnoses: potential coeliac disease and seronegative coeliac disease
- The wider monitoring the guidelines cover: bone health (DXA), pneumococcal vaccination, nutritional status, and the new key performance indicators for services
- What defines non-responsive coeliac disease, and how refractory coeliac disease is identified, classified and managed
Be able to
- Apply the updated diagnostic recommendations, including when the no-biopsy pathway is appropriate and how to approach a gluten challenge
- Set realistic treatment goals (symptom resolution and mucosal healing) and assess gluten-free diet adherence in clinic
- Recognise when a patient needs further investigation, repeat histology, or specialist referral for non-responsive or refractory disease
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Chair
Tanya Haffner
CEO RD MyNutriWeb
Tanya is a registered dietitian, CEO, and founder of MyNutriWeb educational hub and Nutrilicious consultancy and marketing. With 30+ years of experience working across healthcare, food, education, marketing and media, she helps to empower professionals and organisations to lead on nutrition and sustainability for the benefit of health planet and the economy. She is current Chair of the British Dietetic Association’s Sustainable Diets Group, supporting members to embed sustainability across nutrition and dietetic practice.
Expert speakers
Cristian Costas Batlle
Specialist Gastroenterology Dietitian
Bradford Teaching Hospitals NHS Foundation Trust and City Dietitians
Cristian is a gastroenterology dietitian specialising in coeliac disease. In the NHS he runs a dietitian-led coeliac service, whilst also being involved in coeliac disease research and supporting people with coeliac disease and gluten-related conditions in private practice. He has won multiple awards for his work in the field of coeliac disease and is very passionate about sharing evidence-based information about coeliac disease and the gluten free diet on social media.
Nick Trott
Gastroenterology Dietitian
Sheffield Teaching Hospitals NHS Trust
Nick works as a Gastroenterology Dietitian, covering the Specialist Coeliac Clinic at the Royal Hallamshire Hospital, Sheffield. His areas of particular clinical interest include coeliac disease, gluten ataxia, non-coeliac wheat sensitivity and the Low FODMAP approach to Disorders of Gut-Brain Interaction.
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