Mucosal surface patterns of the duodenal bulb. Subject review

While the duodenal mucosa usually exhibits a smooth, featureless surface on the double-contrast barium examination, on occasion a fine mucosal pattern can be demonstrated. Several pathological processes, including erosive duodenitis, Crohn disease, and celiac disease, may produce subtle alterations in the normal surface pattern. Various normal and abnormal mucosal patterns are illustrated.