TY - JOUR AU - Talley, Nicholas J AB - leading article (in this case 10) to define the disease, thus What’s in a name? ‘Non-coeliac gluten assuming that a single disorder underpins several separate clinical syndromes. This or wheat sensitivity’: controversies and reflects a baseline assumption that those who have, for instance, a headache after mechanisms related to wheat and ingestion of wheat or gluten are suffering from the same disease process as those who have diarrhoea and bloating, or constipation gluten causing gastrointestinal or ‘brain-fog’. This reasoning is arguably akin to grouping all smoking-related respi- symptoms or disease ratory symptoms under a common disease heading such of ‘chronic smoking-related 1,2 1 1 Michael D E Potter, Marjorie M Walker, Simon Keely, respiratory disease’ to explain the fact that 1,2 Nicholas J Talley smokers can experience shortness of breath, cough and haemoptysis, all true but over- looking the fact that these smoking-related INtroductIoN NoN-coelIac gluteN seNsItIvIty: symptoms can be caused by several very The global population has more than the curreNt paradIgm distinct disease processes, with different doubled over the past 40 years, supported Gluten, or more generally wheat, has also treatments and outcomes. by the ‘green revolution’ in agriculture been associated with other GI disease. In This current TI - What’s in a name? ‘Non-coeliac gluten or wheat sensitivity’: controversies and mechanisms related to wheat and gluten causing gastrointestinal symptoms or disease JF - Gut DO - 10.1136/gutjnl-2018-316360 DA - 2018-12-09 UR - https://www.deepdyve.com/lp/british-medical-journal/what-s-in-a-name-non-coeliac-gluten-or-wheat-sensitivity-controversies-yUFr1uvYhf SP - 2073 EP - 2077 VL - 67 IS - 12 DP - DeepDyve ER -