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