15 WORLD GASTROENTEROLOGY NEWS JULY 2014 Editorial | Expert Point of View | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events topics which revolved around intes-tinal microbiota and celiac disease. The opening lecture was presented by Dr. Wojciech Marlicz (Depart-ment of Gastroenterology, PUM) who gave a nice overview of the role of gut microbiota in health and disease. Prof. Grazyna Czaja-Bulsa (Depart-ment of Pediatric Gastroenterology, PUM) gave an excellent overview on celiac disease and non gluten celiac sensitivity as well as related disor-ders in children and young adults. Prof. Bulsa pointed also towards the microbial links with these diseases. Prof. Rafal Kurzawa (Department of Gynecology, PUM) delivered an exciting lecture on the importance of diet in woman’s reproductive life cycle. Prof. Kurzawa pointed towards the link between the gut, metabolic endotoxemia and insulin resistance in the pathogenesis of several patholo-gies of female’s reproductive system. Mrs. Anna Grzechowiak (Board Certified Dietitian) and Mrs. Jolanta Meller (Polish Association of People on Gluten Free Diet and with Celiac Disease) addressed important topics concerning the structure of diet and quality of life of people on gluten-free diets in our country. While talking about celiac disease this meeting could not be organized without also hearing from our leading endocrinologist, Dr. Monika Koziolek (Department of Endocrinology, Metabolic Disor-ders and Internal Diseases, PUM). She presented an elegant overview of disorders of the endocrine system as-sociated with gluten enteropathy. Dr. Piotr Tybura (Department of Psychiatry, PUM) informed us how the choice of diet might influence the therapeutic process of psychiatric disorders. His talk circulated around common mood disorders but also focused on attention deficit disor-ders (ADHD), Tourette’s syndrome, Alzheimer’s disease, schizophrenia, autism and depression. Extremely important evidence was presented by our dentist Dr. Zbigniew Hamerlak (University Hospital SPSK1, PUM). He presented his own data and deliv-ered proof of how oral hygiene and maintenance of microbial balance in mouth cavity is important to our health. Photographic evidence was displayed, presenting examples of how poor oral hygiene can lead to various disorders, complicate treatment plans or impairs patient’s quality of life. Dr. Hamerlak also gave a short overview on his own treatment strategies based on pH modulation using self pre-scribed fluids for rinsing oral cavity. The next lecture was delivered by Dr. Marlicz who discussed common diagnostic pitfalls of small bowel enteropathy. Dr. Marlicz stressed the importance of history-taking, especially in terms of elucidating the patient’s history of medicinal use and overuse. The next lecture was focused on the utility of serologic and genetic diagnostic tests for celiac disease and was given by Mr. Michal Podkalicki (Euroimmun, Polska). At the end it is important to state that nowadays we are fortunate to understand the importance and impact on health of gut microbiota modulation. According to a Paul Ehrlich quota-tion: “we must learn to shoot mi-crobes with magic bullets”; the ques-tion arises – are probiotics the magic bullets? This question was addressed in the final lecture by Dr. Janusz Dab-rowski (I.P.C. International Pharma-ceutical Consulting). Dr. Dabrowski taught us that according to various statistics, up to 30% of patients with celiac disease do not respond to a gluten-free diet. The reason behind it might be more expensive gluten-free food, worse quality of life of people on a gluten free diet, and difficul-ties to completely eliminate traces of gluten present in various products. Maintaining the gut barrier integrity by means of diet, exercise, prebiotics and probiotics could be novel and im-portant adjunct therapy for patients with celiac disease and on a gluten free-diet. After the final lecture, dietary interventions aimed to modulate gut microbiota and manage celiac disease as well as non gluten celiac sensitivity were discussed. The World Digestive Health Day 2014 was open access and free of charge. All efforts were made (leaflets, posters, internet, social and public media as well as personal com-munications) to inform the lay public about this event. Participants were in-vited to taste gluten free food offered by local manufacturers. At the end of the conference the group photographs were taken. We are looking forward to collaborating further with the World Gastroenterology Organisation for the benefit of all our patients. Participants of the World Digestive Health Day 2014 event–SPSK 1 Szczecin / Poland.
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