Jejunoileal fold pattern reversal
Last revised by Calum Worsley on 11 Jan 2023
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Citation:
Knipe H, Worsley C, Elfeky M, et al. Jejunoileal fold pattern reversal. Reference article, Radiopaedia.org (Accessed on 20 Apr 2024) https://doi.org/10.53347/rID-45515
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45515
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At the time the article was created Henry Knipe had no recorded disclosures.
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Last revised:
11 Jan 2023,
Calum Worsley ◉
Disclosures:
At the time the article was last revised Calum Worsley had no financial relationships to ineligible companies to disclose.
View Calum Worsley's current disclosures
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4 times, by
4 contributors -
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Synonyms:
- Jejunization of the ileum
- Jejunisation of the ileum
- Jejunization
- Jejunisation
Jejunoileal fold pattern reversal (a.k.a. jejunization of the ileum) is one of the signs of celiac disease, and is seen on small bowel follow-through studies, CT and MRI 1-4. The pattern is one of increased number of ileal folds and reduced number of jejunal folds 1,2, and is considered positive when there are more ileal than jejunal folds over a 5 cm distance 3.
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References
- 1. Barlow J, Johnson C, Stephens D. Celiac Disease: How Common is Jejunoileal Fold Pattern Reversal Found at Small-Bowel Follow-Through? AJR Am J Roentgenol. 1996;166(3):575-7. doi:10.2214/ajr.166.3.8623630 - Pubmed
- 2. Tomei E, Marini M, Messineo D et al. Computed Tomography of the Small Bowel in Adult Celiac Disease: The Jejunoileal Fold Pattern Reversal. Eur Radiol. 2000;10(1):119-22. doi:10.1007/s003300050016 - Pubmed
- 3. Van Weyenberg S, Mulder C, Van Waesberghe J. Small Bowel Imaging in Celiac Disease. Dig Dis. 2015;33(2):252-9. doi:10.1159/000369516 - Pubmed
- 4. Liu B, Ramalho M, AlObaidy M et al. Gastrointestinal Imaging-Practical Magnetic Resonance Imaging Approach. World J Radiol. 2014;6(8):544-66. doi:10.4329/wjr.v6.i8.544 - Pubmed
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