Corazza G R, Caletti G C, Lazzari R, Collina A, Brocchi E, Di Sario A, Ferrari A, Gasbarrini G
First Department of Medical Pathology and Clinical Medicine, University of Bologna, Italy.
Gastrointest Endosc. 1993 Jul-Aug;39(4):543-5. doi: 10.1016/s0016-5107(93)70167-4.
Unlike the adult form, childhood celiac disease has not hitherto been associated with a particular endoscopic pattern. The upper gastrointestinal tracts of 46 children with various stages of celiac disease and of 27 children with conditions other than celiac disease were examined by an endoscopist unaware of the clinical details of the patients. The scalloped configuration of duodenal folds was shown to have a sensitivity of 88% and a specificity of 87% in the diagnosis of subtotal villus atrophy. Attention to this finding, described here for the first time in childhood celiac disease, may be helpful for the diagnosis of this condition.
与成人形式不同，儿童乳糜泻迄今尚未与特定的内镜模式相关联。一位不了解患者临床细节的内镜医师检查了46名处于不同乳糜泻阶段的儿童以及27名患有非乳糜泻疾病的儿童的上消化道。十二指肠皱襞的扇贝样形态在诊断不完全绒毛萎缩方面显示出88%的敏感性和87%的特异性。关注这一在此首次描述于儿童乳糜泻中的发现，可能有助于该疾病的诊断。
