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| Imaging Features of Gastrointestinal Barium Meal Examination in Adults with Celiac Disease |
| SHI Tian, HUO Zhong, FENG Yan,et al |
| People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi Xinjiang 830001 |
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Abstract 【Objective】To investigate the imaging features of gastrointestinal barium meal examination in celiac disease (CD) in order to improve the screening level of the disease.【Methods】The clinical data of 20 patients with celiac disease admitted to the people's Hospital of Xinjiang Uygur Autonomous Region from June 2018 to June 2020 were collected retrospectively. All patients were improved with upper gastrointestinal barium meal or total gastrointestinal barium meal. Two senior radiologists analyzed the performance of digestive tract barium meal in this group. 【Results】 Barium meal imaging examination of the upper gastrointestinal tract showed that 18 (90.0%) of the 20 patients with CD had abnormal duodenal mucosa. The most common manifestation was thickening of duodenal mucosal folds,accounting for 85.0% (17/20). Small niches were seen in most cases,accounting for 60.0% (12/20). The above abnormal manifestations were most obvious in the duodenal bulb and the descending duodenum. In 8 cases,the edge of the descending duodenal mucosa was not smooth,showing "serrated" changes,and in 2 cases,the duodenum was dilated to varying degrees.Twelve of the 20 patients with CD underwent barium meal examination of the whole digestive tract,and 12 patients had abnormal small intestinal mucosa. Among them,9 cases (75.0%) had thickened small intestinal mucosal folds,8 cases (66.7%) had decreased and shallowed jejunal folds,7 cases (58.3%) had uneven intestinal thickness due to different degrees of intestinal dilatation or spasm,and 2 cases (16.7%) had irregular edges of small intestinal mucosa,showing "serrated"changes.【Conclusion】As a non-invasive technique,gastrointestinal barium meal can better show the abnormal manifestations of duodenum and small intestine in CD,and has high clinical value in the screening of CD.
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Received: 08 March 2021
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2022, Vol. 39 
