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Radiographic features in ischemic jejunoileitis: serial changes and comparison with pathologic findings.
1Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Gastrointestinal Radiology
|January 1, 1992
Summary
Radiography accurately shows ischemic jejunoileitis. Imaging findings correlate with disease severity and pathology, aiding in diagnosis and management of this small intestine condition.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Ischemic jejunoileitis is a condition affecting the small intestine.
- Radiographic findings are crucial for understanding its clinical course and pathology.
Purpose of the Study:
- To evaluate the diagnostic accuracy of serial radiographic examinations in patients with ischemic jejunoileitis.
- To correlate radiographic findings with clinical presentation and pathological outcomes.
Main Methods:
- Serial small intestine radiography, including double-contrast studies, in 13 patients.
- Comparison of radiographic findings with pathological examination of resected specimens in eight patients.
Main Results:
- Thumbprinting and fold thickening were noted in the acute stage.
- Tubular narrowing with irregular contours and proximal dilation appeared later, consistent with pathological findings like annular strictures and shallow ulcers.
- Double-contrast studies identified small ulcers in 23% of patients.
Conclusions:
- Radiographic findings effectively mirror the clinical evolution and pathological characteristics of ischemic jejunoileitis.
- Imaging plays a vital role in assessing the severity and nature of this small intestine disease.