Accession Number:

AD0613918

Title:

THE IMPORTANCE AND RELIABILITY OF THE ROENTGENOGRAPHIC EXAMINATION OF THE SMALL BOWEL IN PATIENTS WITH TROPICAL SPRUE,

Descriptive Note:

Corporate Author:

STANFORD MEDICAL CENTER PALO ALTO CALIF

Report Date:

1964-01-01

Pagination or Media Count:

14.0

Abstract:

The interpretations of 322 radiographic examinations of the small bowel, including 228 in patients with tropical sprue, are compared with the results of other methods commonly employed to detect and evaluate malabsorption. Good correlation is revealed between the interpretation of the small bowel examination and the intestinal biopsy evaluation, the fecal fat determination, and the xylose absorption in patients with tropical sprue. The data presented indicate that the radiographic study of the small bowel, using the technic described, is a reliable and satisfactory method of diagnosing malabsorption due to intestinal mucosal disease, particularly when compared with the other common testing parameters. Ninety-three per cent of the small bowel examinations were abnormal in patients thought to have tropical sprue. The fecal fat determination and the intestinal biopsy evaluation were slightly more accurate. There were 13 per cent false negative determinations with the 5 g xylose absorptive test, however, and approximately 20 per cent normal vitamin A and carotene levels in the same group. False positive results for the various tests in nonsprue patients also are evaluated. Author

Subject Categories:

Distribution Statement:

APPROVED FOR PUBLIC RELEASE