Schuttevaer H M, Kroon H M, Chandie Shaw P
Diagn Imaging Clin Med. 1986;55(4-5):254-61.
Forty-two gastrointestinal examinations performed in 24 patients with a history of bone marrow transplantation were analyzed retrospectively. All patients were clinically suspected of a graft-versus-host disease (GVHD) involving the alimentary tract. No specific abnormalities were found in the esophagus or the stomach. Radiographic features of a GVHD of the small bowel are: edema of mucosal folds in ileum and jejunum; effacement of folds towards the ileum; thickening of the bowel wall, and spasms and stenosis with prestenotic dilatation. In the active phase the bowel appears to be shortened. A short transit time was not a specific finding. Follow-up examinations showed partial regression of these findings. Radiological findings in the colon consisted of loss of haustration, thumbprinting, spasms and ulcerations.
回顾性分析了24例有骨髓移植病史患者进行的42次胃肠道检查。所有患者临床上均怀疑有涉及消化道的移植物抗宿主病（GVHD）。食管或胃未发现特异性异常。小肠GVHD的影像学特征为：回肠和空肠黏膜皱襞水肿；皱襞向回肠方向消失；肠壁增厚，以及伴有狭窄前扩张的痉挛和狭窄。在活动期，肠管似乎缩短。转运时间短并非特异性表现。随访检查显示这些表现部分消退。结肠的影像学表现包括结肠袋消失、拇指印征、痉挛和溃疡。
