Gastrointestinal Radiology

, Volume 16, Issue 1, pp 99–103 | Cite as

Duodenitis: A reliable radiologic diagnosis?

  • Marc S. Levine
  • Donna Turner
  • Olle Ekberg
  • Stephen E. Rubesin
  • David A. Katzka
Article

Abstract

The authors performed a retrospective study of 50 patients with endoscopically diagnosed duodenitis who had undergone double-contrast upper gastrointestinal (GI) examinations. Duodenitis was diagnosed on the original radiographic reports in six of 37 patients (16%) with mild-to-moderate duodenitis, five of 13 patients (38%) with severe duodenitis, and 11 of 50 patients (22%) with all grades of duodenitis on endoscopy. Subsequent analysis of the films revealed one or more radiologic signs of duodenitis (including folds more than 4 mm in thickness, mucosal nodularity, bulbar deformity, and erosions) in 18 of 37 patients (49%) with mild-to-moderate duodenitis, eight of 13 patients (62%) with severe duodenitis, and 26 of 50 patients (52%) with all grades of duodenitis on endoscopy. In a separate part of the study, the authors identified another 20 patients with radiographically diagnosed duodenitis who had undergone endoscopic examinations. Nine of those 20 patients (45%) had duodenitis on endoscopy. Subsequent analysis of the films revealed one or more signs of duodenitis in 17 patients from this group. Nine of the latter patients (53%) had duodenitis on endoscopy. Using established radiologic criteria for duodenitis, our rate of false-positive and false-negative radiologic diagnoses still was about 50%. Thus, the double-contrast upper GI examination is a relatively unreliable technique for diagnosing duodenitis.

Key words

Duodenitis, diagnosis Duodenum, radiography 

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Copyright information

© Springer-Verlag New York Inc. 1991

Authors and Affiliations

  • Marc S. Levine
    • 1
  • Donna Turner
    • 1
  • Olle Ekberg
    • 1
  • Stephen E. Rubesin
    • 1
  • David A. Katzka
    • 2
  1. 1.Department of RadiologyHospital of the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of Internal MedicineHospital of the University of PennsylvaniaPhiladelphiaUSA

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