Bova J G, Friedman A C, Weser E, Hopens T A, Wytock D H
AJR Am J Roentgenol. 1985 Feb;144(2):299-302. doi: 10.2214/ajr.144.2.299.
Seven cases of nontropical sprue (gluten enteropathy) are described in which there was an increase in the ileal fold pattern depicted on barium examination of the small bowel. In five of these patients there was a decrease in the jejunal fold pattern. This combination created a reversed appearance of the normal small-bowel radiographic pattern. This is a distinctive pattern for nontropical sprue and reflects the chronic inflammation and atrophy of the jejunum and compensatory hypertrophy (adaptation) of the ileum. This usually indicates long standing disease and should heighten awareness to potential malignant complications.
本文描述了7例非热带性口炎性腹泻（麸质过敏性肠病），这些病例在小肠钡剂检查中显示回肠皱襞形态增加。其中5例患者空肠皱襞形态减少。这种组合形成了正常小肠放射学形态的反向表现。这是非热带性口炎性腹泻的一种独特表现，反映了空肠的慢性炎症和萎缩以及回肠的代偿性肥大（适应性改变）。这通常提示疾病病程较长，应提高对潜在恶性并发症的警惕。
