Abstract
symptoms. This study will reinforce this changing behaviour. However, I do not work in a university hospital, and very few of my patients with unexplained gastroenterological symptoms fit neatly into the Rome II criteria. Most have a wide range of odd symptoms that cannot be categorised into neat diagnostic groups. Thus selecting patients for investigations for coeliac disease will continue to depend on subtle factors that are not so easily measured by a set of diagnostic criteria.
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