Modified surgical procedures in intestinal tuberculosis

Pujari, B. D.

doi:10.1002/bjs.1800660312

Cited by 39 publications

(42 citation statements)

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“…This finding of involvement of slight younger population was also seen in many other studies. 20,21 Present study showed a slight male predominance than females with abdominal tuberculosis and similar results were seen in a study conducted by Rajput MJ et al 21 Although Indian studies have suggested a slight female predominance. 6 The clinical manifestations of abdominal tuberculosis are quite protean.…”

Section: Discussionsupporting

confidence: 85%

“…Arif Au et al and Rajput MJ et al, observed preexisting pulmonary tuberculosis in 20% and 33.95% of their patients respectively. 20,21 Majority of abdominal tuberculosis cases have been found in patients with HIV. 25 In the present study we aimed to investigate the incidence of abdominal tuberculosis, percentage of acute presentation, to analyse the clinical presentation, diagnostic modalities and role of surgery for abdominal tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

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Abdominal tuberculosis: a clinical study in a tertiary care hospital

et al. 2017

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Background: Abdominal tuberculosis is the sixth most common form of extrapulmonary site of infection after lymphatic, genitourinary, bone and joint, miliary and meningeal TB with a rising incidence in recent years. Tuberculosis can affect any part of the gastro-intestinal (GI) tract including anus, peritoneum and hepato-biliary system. The clinical manifestations of abdominal tuberculosis are non-specific and mimic various GI disorders and cause delay in diagnosis and management. The aim of this study is to study the incidence of abdominal tuberculosis, percentage of acute presentation, to study and analyse clinical presentation, various diagnostic modalities, role of surgery and to evaluate the spectrum of surgeries done for abdominal tuberculosisMethods: Study was done by analyzing 108 cases in our tertiary care hospital, Chennai, India, during the period of June 2015 to January 2016. All suspected and diagnosed cases of abdominal tuberculosis were included in the study. The relevant clinical information, laboratory results, microbiological and radiological investigations were recorded. Histopathological examination of all the resected or excised specimens was done to detect tuberculosis in all the cases.Results: Out of 108 cases with abdominal tuberculosis, the average age of presentation was between 21 and 40 years with a slight male predominance (male:female = 1.1:1). Abdominal pain (92%) was the most common presenting symptom followed by anorexia (70%), loss of weight (70%), and intestinal obstruction (13%). 29 cases underwent surgical management. All patients were put on anti-tubercular treatment and majority showed good response to therapy.Conclusions: Abdominal tuberculosis should be considered as a differential diagnosis in patients with vague GI symptoms. To diagnose abdominal tuberculosis, high degree of suspicion is needed, and its incidence being common in people with lower socioeconomic status. This study gives a basic outline of presentation, diagnosis and management of abdominal tuberculosis in developing country.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Abdominal tuberculosis: a clinical study in a tertiary care hospital

et al. 2017

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“…Multiple strictures in a segment may require resection and anastomosis. 28,29 Strictures of recent onset that are not very tight may be left alone or dilated through an enterotomy. 28,29 Bypass procedures are not preferred to resections owing to the possibility of future obstructions and malabsorption.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…28,29 Strictures of recent onset that are not very tight may be left alone or dilated through an enterotomy. 28,29 Bypass procedures are not preferred to resections owing to the possibility of future obstructions and malabsorption. 1 All patients with ileocaecal TB must be offered antitubercular chemotherapy.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Is abdominal tuberculosis a surgical problem?

Pattanayak

Behuria

2015

annals

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INTRODUCTION Abdominal tuberculosis (TB) has always been a diagnostic challenge, even for the astute surgeon. In developing countries, extrapulmonary TB often presents as an acute abdomen in surgical emergencies such as perforations and obstructions of the gut. Abdominal TB in different forms has been found more often as an aetiology for the chronic abdomen. This paper aims to evaluate TB as a surgical problem. METHODS A comprehensive review of the literature on abdominal TB was undertaken. PubMed searches for articles listing abdominal TB/different types/diagnosis/treatment (1980-2012) were performed. RESULTS TB is still a global health problem and the abdomen is one of the most common sites of extrapulmonary TB. Presentation may vary from an acute abdomen to a number of different chronic presentations, which can mimic other abdominal diseases. While some may benefit from antitubercular therapy, others may develop surgical problems such as strictures or obstruction, which may necessitate surgical intervention. CONCLUSIONS Abdominal TB should always be considered one of the differential diagnoses of acute or chronic abdomen in endemic areas.

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“…This form according to many authors, often responds badly to medical management 7 . The surgical treatment of intestinal TB too has passed through many phases, from the bypass procedures of the pre-antibiotic era to the radical surgeries such as hemicolectomy and wide resection, followed by the more recent and more conservative, modified surgical procedures such as limited ileocecal resection, and stricturoplasties 8 .This study aims at a fresh look into abdominal TB and at a better understanding of its clinical manifestations, diagnostic modalities, management and its complications.…”

Section: Introductionmentioning

confidence: 99%

Clinical-Epidemiological Study of Abdominal Tuberculosis in A Tertiary Care Center in India

Desai¹

2017

jmscr

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Modified surgical procedures in intestinal tuberculosis

Cited by 39 publications

References 3 publications

Abdominal tuberculosis: a clinical study in a tertiary care hospital

Abdominal tuberculosis: a clinical study in a tertiary care hospital

Is abdominal tuberculosis a surgical problem?

Clinical-Epidemiological Study of Abdominal Tuberculosis in A Tertiary Care Center in India

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