The aim was to create updated guidelines for the management of adult coeliac disease (CD), but non-coeliac gluten sensitivity (NCGS) was not considered.

Development of the guidelines

The British Society of Gastroenterology (BSG) guidelines on the management of adult CD were originally published in 1996. Recently the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) published updated guidelines for paediatric CD,[1] but international guidelines for adult CD are scarce[2–5] since the NIH consensus6 on CD in 2005 (despite more than 4000 PubMed publications about CD in the last 8 years). As a result, the Clinical Services and Standards Committee of the BSG commissioned these guidelines, subject to rigorous peer review and based on a comprehensive review of the recent literature, including data from any available randomised controlled trials, systematic reviews, meta-analyses, cohort studies, prospective and retrospective studies.