Jejunoileal fold pattern reversal

Last revised by Calum Worsley on 11 Jan 2023

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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