Neutard E, Kluge F
Radiologe. 1981 Aug;21(8):381-5.
Radiological findings of 10 adult patients with sprue were compared with histology. Patients suffering from subtotal villous atrophy were showing distinct radiological changes. The most important finding of sprue is the dilatation of the small intestine. Further typical changes are segmentations and fragmentations as well as mucous hypertrophy and the sign of moulage. In a 57-year-old female patient who was suffering from sprue for 35 years, a carcinoma of the small bowl was found and was resected during laparatomy. Sprue is a premalignant disease; therefore radiological investigations are of special importance. Therapy by a diet without gluten can reduce the radiological changes to normal, very bad changes rarely can be reduced totally. Radiological changes are not significant, but the diagnosis can be made in most cases by investigation with barium.
对10例成年口炎性腹泻患者的放射学检查结果与组织学检查结果进行了比较。患有小肠绒毛大部萎缩的患者呈现出明显的放射学变化。口炎性腹泻最重要的表现是小肠扩张。其他典型变化包括节段性和破碎性改变，以及黏膜肥厚和印模征。一名患有口炎性腹泻35年的57岁女性患者，在剖腹手术中发现并切除了小肠癌。口炎性腹泻是一种癌前疾病；因此，放射学检查具有特殊重要性。采用无麸质饮食疗法可使放射学变化恢复正常，极少数非常严重的变化很少能完全恢复。放射学变化并不显著，但在大多数情况下通过钡剂检查即可作出诊断。
