Tada S, Iida M, Matsui T, Fuchigami T, Iwashita A, Yao T, Fujishima M
Department of Internal Medicine II, Kyushu University, Fukuoka, Japan.
AJR Am J Roentgenol. 1991 Apr;156(4):741-4. doi: 10.2214/ajr.156.4.2003438.
The appearance of the small intestinal mucosa on double-contrast barium examinations was studied in 26 patients with proved intestinal amyloidosis. Findings included innumerable fine granular densities 1-3 mm in diameter (16 patients), multiple nodular densities 3-4 mm in diameter (four patients), multiple polypoid protrusions 4-10 mm in diameter (three patients), irregularities of Kerckring folds (12 patients), and multiple erosions (eight patients). The multiple nodular densities and erosions disappeared after the patients were treated with total parenteral nutrition. The other abnormalities remained unchanged on follow-up examinations. Our results indicate that double-contrast radiographic findings of the small intestine in patients with amyloidosis include mucosal abnormalities that vary according to the pathologic type of amyloid deposition.
对26例经证实患有肠道淀粉样变性的患者进行了双对比钡剂检查，以研究小肠黏膜的表现。检查结果包括无数直径为1 - 3毫米的细颗粒状密度影（16例患者）、多个直径为3 - 4毫米的结节状密度影（4例患者）、多个直径为4 - 10毫米的息肉样突起（3例患者）、Kerckring皱襞不规则（12例患者）以及多处糜烂（8例患者）。在患者接受全胃肠外营养治疗后，多个结节状密度影和糜烂消失。在后续检查中，其他异常情况保持不变。我们的结果表明，淀粉样变性患者小肠的双对比X线造影表现包括根据淀粉样沉积病理类型而变化的黏膜异常。
