Role of strictureplasty in the management of tuberculous strictures of small intestine
PAFMJ-Pakistan Armed Forces Medical Journal. 2007; 57 (1): 43-48
in English
| IMEMR
| ID: emr-163891
ABSTRACT
To evaluate the outcome and assess the reliability of strictureplasty in the management of small intestinal strictures due to tuberculosis. A retrospective observational and descriptive study. PNS-Shifa, Karachi. Clinical data of cases of intestinal tuberculosis reporting over a period of five years-[Aug 1999-to-Aug 2004] was studied. Thirty patients with small intestinal tuberculosis who underwent strictureplasty alone or in combination with limited resection were selected for the study. In 20 cases [66.67%] the strictureplasty was performed in combination with limited resection. Remaining 10 cases [33.33%] were managed by strictureplasty alone. Anastomotic leakage with fistula formation occurred in 3 cases [10%], Burst abdomen occurred in 2 cases [6.67%]. Sub-diaphragmatic abscess formation occurred in 3 cases [10%]. On prolonged follow-up averaging two years, re-admission was required in 5 cases [16.67%]. Re exploration to relieve obstruction due to adhesions was required in 2 cases [6.67%]. Late incisional hernia was seen in 4 cases [13.33%]. There was no procedure related mortality. Strictureplasty is a simple, quick, and safe operative technique to manage tuberculous small intestinal strictures, in combination with limited resection or as a sole procedure
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Index:
IMEMR (Eastern Mediterranean)
Language:
English
Journal:
Pak. Armed Forces Med. J.
Year:
2007
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