Skip to main content
SpringerLink
Log in

Abnormal small-bowel x-ray patterns associated with active duodenal ulcer

  • Published:
The American Journal of Digestive Diseases Aims and scope Submit manuscript

Conclusion

1. The association of unequivocal active peptic ulcer disease with the abnormal small-bowel X-ray pattern commonly known as “disordered motor pattern” is documented in 37 cases. The association has not been previously reported. These X-ray changes can be severe enough to suggest the presence of intrinsic small-bowel disease.

2. Marked improvement of the abnormal small-bowel pattern concurrent with relief of symptoms occurred in 23 of 25 patients examined more than once with a U.S.P. barium mixture.

3. Thirteen patients were restudied with nonflocculant barium. The abnormal pattern was corrected in every patient. In seven instances correction was obtained though the patient was still symptomatic.

4. Current knowledge relevant to the pathogenesis of this pattern is reviewed and the application of this knowledge to our group of patients is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Golden, R. Diagnostic Roentgenology, Vol. II. Williams and Wilkins, Baltimore, Md., 1959, Chap. V.

    Google Scholar 

  2. Hodges, F. J., Rundles, R. W., andHanelin, J. Roentgenologic study of the small intestine: I. Neoplastic and inflammatory diseases.Radiology 49:587, 1947.

    Google Scholar 

  3. Ettinger, A. Small intestinal pattern in sprue and similar deficiency diseases.Am. J. Roentgenol. 61:658, 1949.

    Google Scholar 

  4. Friedman, J. Roentgen studies of the effects on the small intestine from emotional disturbances.Am. J. Roentgenol. 72:367, 1954.

    Google Scholar 

  5. Frazer, A. C., French, J. M., andThompson, M. D. Radiographic studies showing the induction of a segmentation pattern in the small intestine in normal human subjects.Brit. J. Radiol. 22:123, 1949.

    Google Scholar 

  6. Kirsh, I. E., andSpellberg, M. A. Examination of small intestine with carboxymethyl cellulose.Radiology 60:701, 1953.

    Google Scholar 

  7. Goin, L. S. Some obscure factors in the production of unusual small bowel patterns.Radiology 59:177, 1952.

    Google Scholar 

  8. Barden, R. P., Thompson, W. D., Ravdin, I. S., andFrank, I. I. Influence of the serum protein on the motility of the small intestine.Surg. Gynec. & Obst. 66:819, 1938.

    Google Scholar 

  9. Mackie, T. T., andPound, R. E. Changes in the gastro-intestinal tract in deficiency states, with special references to the small intestine; a roentgenologic and clinical study of 40 cases.J.A.M.A. 104:613, 1935.

    Google Scholar 

  10. Hodges, F. J., Rundles, R. W., andHanelin, J. Roentgenologic study of the small intestine: II. Dysfunction associated with neurologic diseases.Radiology 49:659, 1947.

    Google Scholar 

  11. Ingelfinger, F. J., andMoss, R. E. Motility of the small intestine in sprue.J. Clin. Invest. 22:345, 1943.

    Google Scholar 

  12. Roth, H. P. Motility of the small intestine during emotional reaction.Ann. Int. Med. 38:38, 1953.

    Google Scholar 

  13. Farrar, J. T., andBernstein, J. S. Recording of intraluminal gastro-intestinal pressure by a radiotelemetering capsule.Gastroenterology 35:603, 1958.

    Google Scholar 

  14. Horowitz, L., andFarrar, J. T. Intraluminal small intestinal pressures in normal patients and in patients with functional gastrointestinal disorders.Gastroenterology 42:455, 1962.

    Google Scholar 

  15. Sneli, A. M., andCamp, J. S. Chronic idiopathic steatorrhea, roentgenologic observations.Arch. Int. Med. 53:615, 1934.

    Google Scholar 

  16. Kantor, J. L. Roentgen diagnosis of idiopathic steatorrhea and allied conditions; practical value of the “moulage sign”.Am. J. Roentgenol. 41:758, 1939.

    Google Scholar 

  17. Pendergass, E. P., Ravdin, I. S., Johnston, C. G., andHodes, P. J. Studies of the small intestine. II. Effects of foods and pathological states on the gastric emptying and small intestinal pattern.Radiology 26:651, 1936.

    Google Scholar 

  18. Zimmer, E. A. Radiology of the small intestine. I. Studies on contrast media for X-ray examination of the gastro-intestinal tract.Brit. J. Radiol. 24:245, 1951.

    Google Scholar 

  19. Knoefel, P. K., Davis, L. A., andPilla, L. A. Agglomeration of barium sulfate and roentgen visualization of the gastric mucosa.Radiology 67:87, 1956.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. From the Medical and Radiology Services, Veterans Administration Hospital, New York, N. Y.

    James S. Bernstein M.D., Victor W. Groisser M.D. & Lewis R. Lawrence M.D.

  2. the Department of Medicine, Cornell University Medical College, USA

    James S. Bernstein M.D., Victor W. Groisser M.D. & Lewis R. Lawrence M.D.

  3. the Department of Radiology, New York University School of Medicine, USA

    James S. Bernstein M.D., Victor W. Groisser M.D. & Lewis R. Lawrence M.D.

Authors
  1. James S. Bernstein M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Victor W. Groisser M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Lewis R. Lawrence M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

The authors wish to thank Dr. Michael Bernstein for his help in selection of some of the cases and Dr. John T. Farrar for his editorial criticism.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bernstein, J.S., Groisser, V.W. & Lawrence, L.R. Abnormal small-bowel x-ray patterns associated with active duodenal ulcer. Digest Dis Sci 8, 174–190 (1963). https://doi.org/10.1007/BF02232659

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02232659

Keywords

Search

Navigation