The sample size in the present study is small to arrive at a brisk inference, but it may safely be postulated that yield of detection for GeneXpert may be improved using multiple sampling, especially the early morning ones. It is also pertinent to mention here that GeneXpert may not be able to pick up mutant genomes.

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Isolated gastric tuberculosis, without evidence of pulmonary or other gastrointestinal involvement, is extremely rare. Due to inaccurate clinical diagnoses, most patients end up requiring surgical intervention,only after which is gastric tuberculosis diagnosed. we present a case where this dilemma between tuberculosis and malignancy costed the patient half of his stomach.