Gastric and duodenal folds

Abstract

Several recent studies have confirmed the claim⁴⁵ that there are radiological appearances on barium meal typical of atrophic gastritis. The characteristic appearances are absent or decreased rugal markings on the greater curve and on the dome of the stomach at its cardiac end (‘bald fundus’); there may be thin, ‘tissue paper’ folds in these parts; the stomach is tubular with the lesser and greater curves smooth and approximately parallel to one another.⁷⁴⁰ There is reasonable agreement between radiologists classifying these films ‘blind’.^{606, 848} The radiological appearances correlate with his tology,^{45, 949, 641, 606, 739}with basa1²³² and maximal ^{949, 193, 739, 848} acid outputs, as well as with serum B₁₂, B₁₂ absorption and parietal cell antibodies.⁷³⁹