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Gamme d'année
1.
Article Dans Anglais | IMSEAR | ID: sea-159966

Résumé

Summary: Tuberculosis of the gastrointestinal tract (GIT) occurs as a primary lesion or secondary to a focus of tuberculosis elsewhere in the body, most commonly in the lungs. Tuberculosis can affect any part of the GIT from the oesophagus to the anal canal. Two main types are – the tuberculous ulcer and the rarer hypertrophic type which is generally found at the ileocecal junction, less commonly in the colon or rectum. Tuberculosis of bowel distal to ileocecal junction is rare and is seldom considered as a differential diagnosis of rectal stricture (2%).1,6 We report a case of rectal tuberculosis presenting with rectal prolapse and masquerading as malignancy, clinically, radiologically as well as on colonoscopy. The diagnosis was confirmed by repeated histopathological examination. The patient underwent definitive surgery along with anti-tuberculous therapy.


Sujets)
Antituberculeux/administration et posologie , Colectomie/méthodes , Coloscopie , Diagnostic différentiel , Dissection , Humains , Adulte d'âge moyen , Tumeurs du rectum/diagnostic , Prolapsus rectal/étiologie , Prolapsus rectal/chirurgie , Rectum/anatomopathologie , Résultat thérapeutique , Tuberculose gastro-intestinale/complications , Tuberculose gastro-intestinale/diagnostic , Tuberculose gastro-intestinale/physiopathologie , Tuberculose gastro-intestinale/thérapie
2.
Article Dans Anglais | IMSEAR | ID: sea-65298

Résumé

Forty four patients with portal hypertension of varying etiology, including 25 patients with an acute episode of variceal bleeding and 19 with past history of hematemesis, were followed up for eighteen months following endoscopic variceal sclerotherapy (EVS). Of 11 patients in Child's A group, two died of acute bleed, three were subjected to shunt surgery and the remaining six survived the follow-up period. Ten of 11 cases in Child's C did not survive more than six months in spite of sclerotherapy. We conclude that rebleed and death due to rebleed following EVS occur more commonly in patients with poor hepatic reserve (Child's C) as compared to patients in Child's A and B.


Sujets)
Enfant , Enfant d'âge préscolaire , Endoscopie , Varices oesophagiennes et gastriques/thérapie , Hémorragie gastro-intestinale/thérapie , Humains , Hypertension portale/thérapie , Inde , Cirrhose du foie/mortalité , Études prospectives , Sclérothérapie , Survie
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