Surgical management of obstructive gastroduodenal tuberculosis.
Article
in English
| IMSEAR
| ID: sea-124226
ABSTRACT
BACKGROUND:
Gastroduodenal tuberculosis is a rare but potentially curable condition. The aim of the present study was to evaluate the clinical presentation, pre-operative status, management and outcome in patients with histologically proven diagnosis of gastroduodenal obstruction due to tuberculosis.METHODS:
We retrospectively reviewed the records of 17 patients managed surgically for gastroduodenal obstruction due to tuberculosis.RESULTS:
The site of obstruction was the pyloroduodenal canal in 53% of patients, second part of the duodenum in 24%, third part of the duodenum in 12% and duodenjojejunal flexure in 12%. The obstruction was caused by fibrotic stricture formation in 59% of patients and extrinsic compression by a lymph nodal mass in 41%. Endoscopic biopsy was diagnostic in only 29% of the patients in whom it was performed. Overall, a pre-operative diagnosis of gastroduodenal tuberculosis was suspected in only 35% of patients. All the patients underwent surgical drainage procedures and the diagnosis was confirmed by histopathological examination of biopsies taken at the time of laparotomy.CONCLUSIONS:
In view of its rarity and non-specific findings on clinical, radiological and endoscopic evaluation, tuberculosis as a cause of gastroduodenal obstruction is seldom diagnosed pre-operatively. Hence, a high index of suspicion is required in young patients residing in endemic areas. Surgical intervention helps not only in relieving obstruction but also in confirming the diagnosis.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Tuberculosis, Gastrointestinal
/
Female
/
Humans
/
Male
/
Child
/
Child, Preschool
/
Retrospective Studies
/
Adolescent
/
Treatment Outcome
/
Adult
Type of study:
Observational study
Language:
English
Year:
2003
Type:
Article
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