Usai P, Cherchi M V, Sirigu F, Boy M F, Balestrieri A
Istituto di Medicina interna, Università, Cagliari.
Recenti Prog Med. 1991 May;82(5):266-8.
The duodenal endoscopic pictures were studied in 12 adult coeliacs patients, aged between 18 and 76 years, mean age 41.9 +/- 17.6 yrs. All patients carried out D-xylose absorption test, antigliadin IgA antibodies and distal duodenum biopsy. The more frequent endoscopic picture was the disappearance of Kerckring's folds; nevertheless in 5 patients the loss of Kerckring's folds was associated with duodenal mucosa irregularity. We believe that in future the knowledge of this new endoscopic picture will be useful in coeliac's disease diagnosis.
对12例成年乳糜泻患者的十二指肠内镜图像进行了研究，患者年龄在18至76岁之间，平均年龄41.9±17.6岁。所有患者均进行了D-木糖吸收试验、抗麦醇溶蛋白IgA抗体检测和十二指肠远端活检。内镜检查中较常见的表现是环形皱襞消失；然而，在5例患者中，环形皱襞的消失与十二指肠黏膜不规则有关。我们认为，未来了解这种新的内镜表现将有助于乳糜泻的诊断。
