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A ROENTGENOGRAPHIC CLASSIFICATION OF DIFFUSE DISEASES OF THE SMALL INTESTINE PRESENTING WITH MALABSORPTION

TIMOTHY E. TULLY M.D. and SAMUEL B. FEINBERG M.D.

The diseases diffusely afflicting the small intestine and presenting with malabsorption are numerous and uncommon. The development of several diagnostic modalities in the past 20 years has permitted accurate clinical and pathologic descriptions of many of these entities.

A classification has been put forth based on the gross appearance of the mucosal folds and the presence or absence of intestinal dilatation as determined by small bowel roentgen examination.

It is proposed that correlation with small bowel biopsy, clinical findings and simple laboratory methods usually indicates a definitive diagnosis.

Data processing and computer analysis should be the next step in the application of this classification.


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