Evidence map›Paper›PMID 41757144›Full record

ReviewEuroasian journal of hepato-gastroenterology

Non-celiac Gluten Sensitivity: A New Clinical Entity or Growing Controversy?

Atilla Bektaş

Abstract readReview
In one paragraph

Review in Euroasian journal of hepato-gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Atilla BektaşDepartment of Gastroenterology, Private Ankara Surgery Medical Center, Ankara, Turkey.ORCID https://orcid.org/0000-0001-7775-3770

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims and background: Non-celiac gluten sensitivity (NCGS) has become an increasingly recognized condition, yet its diagnostic framework remains vague. Unlike celiac disease, NCGS lacks specific biomarkers and relies heavily on self-reported symptoms. Despite this ambiguity, the gluten-free product market reached USD 20.1 billion in 2021 and is projected to exceed USD 26.5 billion by 2030, indicating widespread adoption beyond medically justified use. Results: Emerging evidence suggests that gluten may not be the sole trigger in NCGS. Other wheat components, including amylase-trypsin inhibitors (ATIs), wheat germ agglutinin (WGA), and fructans, may contribute to symptom generation. Accordingly, the term "non-celiac wheat sensitivity (NCWS)" is increasingly preferred. Studies also show that low-FODMAP diets can alleviate symptoms attributed to NCGS, complicating the diagnostic distinction from irritable bowel syndrome (IBS) and other disorders of gut-brain interaction (DGBIs). The presence of antigliadin antibodies (AGA) or HLA-DQ2/DQ8 haplotypes may suggest predisposition, but these are neither specific nor diagnostic for NCGS. Conclusion: The lack of standardized diagnostic criteria and the influence of the nocebo effect pose significant challenges in the clinical assessment of NCGS. Self-reported outcomes alone are insufficient for a reliable diagnosis. Clinical significance: The unwarranted adoption of gluten-free diets in individuals without confirmed gluten-related disorders may lead to nutritional imbalance and disruption of the gut microbiota. Until validated diagnostic tools are established, clinicians should evaluate suspected NCGS cautiously, considering differential diagnoses and evidence-based dietary guidance. How to cite this article: Bektaş A. Non-celiac Gluten Sensitivity: A New Clinical Entity or Growing Controversy? Euroasian J Hepato-Gastroenterol 2025;15(2):170-172.

Indexed as

Functional gastrointestinal disordersGluten-free dietIrritable bowel syndromeLatent celiac diseaseNon-celiac gluten sensitivityNon-celiac wheat sensitivitySalerno criteriaSeronegative celiac disease

Identifiers

PMID41757144
PMCPMC12932325

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.