The imaging of coeliac disease and its complications

Buckley, Orla; Brien, Joanna; Ward, Emily; Doody, Orla; Govender, Pradeep; Torreggiani, William C.

doi:10.1016/j.ejrad.2007.04.015

Cited by 31 publications

(16 citation statements)

References 24 publications

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“…Patients, who present severe weight loss, altered bowel habits, as well as the presence of adenopathy, represent alert indication in relation to the possibility of a lymphoma [24].…”

Section: Prognosismentioning

confidence: 99%

Systemic and Oral Aspects in Celiac Disease for Dentistry

Torres¹,

Marçal²,

Ponte³

et al. 2016

J. Dent. Sci. Ther

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“…Patients, who present severe weight loss, altered bowel habits, as well as the presence of adenopathy, represent alert indication in relation to the possibility of a lymphoma [24].…”

Section: Prognosismentioning

confidence: 99%

Systemic and Oral Aspects in Celiac Disease for Dentistry

Torres¹,

Marçal²,

Ponte³

et al. 2016

J. Dent. Sci. Ther

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“…In CD, the number of jejunal folds is often decreased. In severe cases, complete loss of jejunal folds can result in an appearance not unlike that of the colon (‘moulage sign') [13]. In contrast, the number of ileal folds is often increased in CD.…”

Section: Radiology In Uncomplicated CDmentioning

confidence: 99%

“…On SBFT, intussusception results in a spring coil-like configuration. On US and cross-sectional imaging, a target sign, reflecting the bowel-in-bowel, is pathognomonic [13]. In adults with CD, intussusception has been reported in up to 20% of patients examined with SBFT [24].…”

Section: Radiology In Uncomplicated CDmentioning

confidence: 99%

“…This very rare syndrome may indicate the presence of lymphoma. Although mortality rates of up to 50% have been reported, spontaneous recovery has been reported as well [13]. Hyposplenism is associated with CD, although the exact mechanism is unclear.…”

Section: Radiology In Uncomplicated CDmentioning

confidence: 99%

“…Ulcerative jejunitis may appear on double-contrast enteroclysis studies as thickened segments with ulcerative lesions and stenosis [13]. On cross-sectional imaging, the bowel wall thickening is the most striking abnormality.…”

Section: Radiology In Complicated CDmentioning

confidence: 99%

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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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Gastroenterology

Al-Tubaikh

2023

Internal Medicine

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The imaging of coeliac disease and its complications

Cited by 31 publications

References 24 publications

Systemic and Oral Aspects in Celiac Disease for Dentistry

Systemic and Oral Aspects in Celiac Disease for Dentistry

Small Bowel Imaging in Celiac Disease

Gastroenterology

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