Adaptation of the ileum in nontropical sprue: reversal of the jejunoileal fold pattern

Bova, James G.; Friedman, Arnold C.; Weser, Elliot; Hopens, T.; Wytock, Dale H.

doi:10.2214/ajr.144.2.299

Cited by 33 publications

(11 citation statements)

References 6 publications

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“…Although our series of patients is larger than the group of seven patients reported on by Bova et al [1] in 1985, it is still not large enough to provide significant data on which SBFT findings occur with acute celiac disease and which occur with chronic celiac disease. Bova et al [1] concluded that complete fold pattern reversal was indicative of "long-standing disease with vilbus atrophy of the jejunum and compensatory hypertrophy (adaptation) of the ileum."…”

Section: Recordsmentioning

confidence: 65%

See 1 more Smart Citation

Celiac disease: how common is jejunoileal fold pattern reversal found at small-bowel follow-through?

Barlow¹,

Johnson²,

Stephens³

1996

American Journal of Roentgenology

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Section: Recordsmentioning

confidence: 65%

“…Bova et al [1] concluded that complete fold pattern reversal was indicative of "long-standing disease with vilbus atrophy of the jejunum and compensatory hypertrophy (adaptation) of the ileum." We also saw complete jejunoileal fold pattern reversal more often in patients with chronic celiac disease.…”

Section: Recordsmentioning

confidence: 99%

Celiac disease: how common is jejunoileal fold pattern reversal found at small-bowel follow-through?

Barlow¹,

Johnson²,

Stephens³

1996

American Journal of Roentgenology

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“…When the number of ileal folds per 5 cm exceeds the number of jejunal folds per 5 cm, this is called jejunoileal fold pattern reversal (JFPR). This finding, which was first described by Bova in 1985, is considered to be the most specific radiological finding in CD [14]. Lomoschitz et al [15] identified JFPR on conventional enteroclysis studies in 16/27 patients with CD, compared to 0/123 control patients.…”

Section: Radiology In Uncomplicated CDmentioning

confidence: 81%

Small Bowel Imaging in Celiac Disease

Weyenberg

Mulder²,

Waesberghe

2015

Dig Dis

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Background: Modern small bowel imaging techniques allow detailed depiction of small-intestinal abnormalities. The role of these techniques in the investigation of celiac disease is increasing, especially in patients with suspected complicated celiac disease. Key Messages: In general, there is no need for radiological small bowel imaging in uncomplicated celiac disease. It is however important that clinicians and radiologists are aware of certain specific radiological findings that may suggest celiac disease, especially since celiac disease is often not considered in adult patients, and small bowel radiology may be performed before specific tests for celiac disease. Radiological abnormalities can be observed with both conventional small bowel radiology studies, like small bowel follow-through or double-contrast small bowel enteroclysis, and newer modalities, like computed tomography or magnetic resonance enterography or enteroclysis. These signs include a decreased number of jejunal folds, an increased number of ileal folds, small bowel dilatation, wall thickening and intussusception. Extraintestinal abnormalities include mesenteric lymphadenopathy, vascular changes and splenic atrophy. Abnormalities congruent with refractory celiac disease type II include a severe decrease in jejunal folds, infiltration of the mesenteric fat and thickening of the small bowel wall. Additionally, a severely decreased splenic volume may indicate complicated celiac disease. Malignant complications of celiac disease, such as enteropathy-associated T-cell lymphoma and small-intestinal adenocarcinoma, can be reliably investigated with cross-sectional enteroclysis techniques. Conclusions: Small bowel imaging and especially cross-sectional enteroclysis techniques are important extensions to the diagnostic workup of clinicians involved in the care of patients with celiac disease, especially those with suspected complicated disease.

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“…In the proximal jejunum, less than four folds per inch were considered abnormal, and in the distal ileum, more than four folds per inch were considered abnormal [11,12]. The average number of folds per inch in the proximal jejunum and the distal ileum then were compared to demonstrate an eventual presence of jejunoileal fold pattern reversal, i.e., fewer folds per inch in the proximal jejunum compared with the distal ileum [13, 14,15].…”

Section: Image Analysismentioning

confidence: 99%

“…Various radiographic features of adult CD, including small bowel dilatation, flocculation of barium, and changes in the number and thickening of folds, have been previously described [11,12,13,14,15,16,17,18]. Nevertheless, few data are available about the diagnostic accuracy of the described features at enteroclysis in the detection of patients with CD.…”

Section: Introductionmentioning

confidence: 99%

Enteroclysis in adult celiac disease: diagnostic value of specific radiographic features

et al. 2003

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Adaptation of the ileum in nontropical sprue: reversal of the jejunoileal fold pattern

Cited by 33 publications

References 6 publications

Celiac disease: how common is jejunoileal fold pattern reversal found at small-bowel follow-through?

Celiac disease: how common is jejunoileal fold pattern reversal found at small-bowel follow-through?

Small Bowel Imaging in Celiac Disease

Enteroclysis in adult celiac disease: diagnostic value of specific radiographic features

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