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十二指肠皱襞消失有助于诊断未被怀疑的乳糜泻。

Loss of duodenal folds allows diagnosis of unsuspected coeliac disease.

作者信息

Corazza G R, Brocchi E, Caletti G, Gasbarrini G

机构信息

Department of Medical Pathology, S Orsola Hospital, University of Bologna, Italy.

出版信息

Gut. 1990 Sep;31(9):1080-1. doi: 10.1136/gut.31.9.1080.

DOI:10.1136/gut.31.9.1080
PMID:2210456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1378674/
Abstract

We report three patients with coeliac disease who presented without the classic features of malabsorption and who underwent biopsy and were diagnosed only because of the endoscopic finding of the disappearance of Kerckring's folds in the descending duodenum. This sign constitutes a new and valid aid for the identification of patients with otherwise unsuspected coeliac disease.

摘要

我们报告了三名乳糜泻患者,他们没有出现吸收不良的典型特征,接受了活检,仅因内镜检查发现降部十二指肠的环形皱襞消失而被确诊。这一征象为识别原本未被怀疑患有乳糜泻的患者提供了一种新的有效依据。

相似文献

1
Loss of duodenal folds allows diagnosis of unsuspected coeliac disease.十二指肠皱襞消失有助于诊断未被怀疑的乳糜泻。
Gut. 1990 Sep;31(9):1080-1. doi: 10.1136/gut.31.9.1080.
2
Endoscopic demonstration of loss of duodenal folds in the diagnosis of celiac disease.十二指肠皱襞消失的内镜表现对乳糜泻的诊断价值
N Engl J Med. 1988 Sep 22;319(12):741-4. doi: 10.1056/NEJM198809223191202.
3
[The duodenoscopic picture in adult celiac disease].[成人乳糜泻的十二指肠镜图像]
Recenti Prog Med. 1991 May;82(5):266-8.
4
Endoscopic markers in adult coeliac disease.成人乳糜泻的内镜标志物
Dig Liver Dis. 2002 Mar;34(3):177-82. doi: 10.1016/s1590-8658(02)80190-6.
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Diagnosis of coeliac disease at open-access endoscopy.开放获取式内镜检查对乳糜泻的诊断
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The endoscopic demonstration of coeliac disease.乳糜泻的内镜表现
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[Celiac disease with subepithelial deposition of collagen].伴有上皮下胶原沉积的乳糜泻
Ugeskr Laeger. 2000 Jun 19;162(25):3615-6.
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[The value of duodenal biopsy within routine upper endoscopy: a prospective study in 1000 patients].[常规上消化道内镜检查中十二指肠活检的价值:对1000例患者的前瞻性研究]
Z Gastroenterol. 2008 Aug;46(8):771-5. doi: 10.1055/s-2008-1027407.
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High accuracy and cost-effectiveness of a biopsy-avoiding endoscopic approach in diagnosing coeliac disease.一种避免活检的内镜检查方法在诊断乳糜泻方面的高准确性和成本效益。
Aliment Pharmacol Ther. 2006 Jan 1;23(1):61-9. doi: 10.1111/j.1365-2036.2006.02732.x.
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Coeliac disease diagnosed by means of duodenoscopy and endoscopic duodenal biopsy.通过十二指肠镜检查和内镜下十二指肠活检诊断的乳糜泻。
Scand J Gastroenterol. 1977;12(8):911-6. doi: 10.3109/00365527709181349.

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Dig Dis Sci. 2013 May;58(5):1287-92. doi: 10.1007/s10620-012-2467-y. Epub 2012 Oct 31.
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Emerging technologies in upper gastrointestinal endoscopy and celiac disease.上消化道内镜检查与乳糜泻的新兴技术
Nat Clin Pract Gastroenterol Hepatol. 2009 Jan;6(1):47-56. doi: 10.1038/ncpgasthep1298. Epub 2008 Nov 11.

本文引用的文献

1
Is coeliac disease underdiagnosed?乳糜泻是否诊断不足?
Br Med J. 1980 Nov 8;281(6250):1258-60. doi: 10.1136/bmj.281.6250.1258.
2
Coeliac disease, fertility, and pregnancy.乳糜泻、生育能力与妊娠
Scand J Gastroenterol. 1982 Jan;17(1):65-8. doi: 10.3109/00365528209181045.
3
Changes in clinical features of coeliac disease in adults in Edinburgh and the Lothians 1960-79.1960 - 1979年爱丁堡及洛锡安区成年乳糜泻患者临床特征的变化
Br Med J (Clin Res Ed). 1983 Jan 8;286(6359):95-7. doi: 10.1136/bmj.286.6359.95.
4
Coeliac disease presenting as recurrent pericarditis.乳糜泻表现为复发性心包炎。
Lancet. 1981 May 9;1(8228):1021-2. doi: 10.1016/s0140-6736(81)92187-5.
5
The subtle and variable clinical expressions of gluten-induced enteropathy (adult celiac disease, nontropical sprue). An analysis of twenty-one consecutive cases.麸质诱导性肠病(成人乳糜泻、非热带性口炎性腹泻)的细微及多样临床症状。对连续21例病例的分析。
Am J Med. 1970 Mar;48(3):357-66. doi: 10.1016/0002-9343(70)90066-5.
6
Endoscopic demonstration of loss of duodenal folds in the diagnosis of celiac disease.十二指肠皱襞消失的内镜表现对乳糜泻的诊断价值
N Engl J Med. 1988 Sep 22;319(12):741-4. doi: 10.1056/NEJM198809223191202.
7
Malignancy in coeliac disease--effect of a gluten free diet.乳糜泻中的恶性肿瘤——无麸质饮食的影响。
Gut. 1989 Mar;30(3):333-8. doi: 10.1136/gut.30.3.333.