Volume : V, Issue : I, January - 2016

The surgical treatment of abdominal tuberculosis– study of 50 cases

Dr Jaydeep Gadhavi, Dr Nehal Naik, Dr Hiren Parmar

Abstract :

Background: Abdominal tuberculosis has been recognized as a definite and pathological entity for many years. The disease is very common in our county due to poverty, overcrowding malnutrition, poor general hygiene and above all there are large number of undetected and detected open cases of pulmonary tuberculosis in the community.[1] Approximately, 2% of the population in our country suffers from tuberculosis of which 2–2.5 millions are active cases.[2] Abdominal tuberculosis could be classified according to the site of organ of involvement such as, peritoneal tuberculosis, gastric tuberculosis, tuberculosis involving the liver or manifesting as perianal abscess and fistula. Pathologically, tuberculosis has been classified into (i) ulcerative type (ii) Hypertrophic type (iii) Ulcero–hypotrophic type. Material and methods: 50 cases of intestinal tuberculosis were studied on different criterions like detailed clinical history, systemic examination, investigations and treatment. The main focus was on demographical study, diagnosis and treatment mainly surgical in abdominal tuberculosis. Results: Abdominal tuberculosis can occur at any age. Present series and other series published before show that no age is immune. The common age group affected is between 20–40 years. Ileum, caecum, ileocaecal region are most commonly involved. The other less frequent site were colon, duodenum, stomach, jejunum and anal canal rarely peritoneum and mesenteric glands in majority of cases. Descending colon rectum was not effected in any case. In this series it was performed in 15 casas out of this there were cases of hyper plastic ilicocaecal tuberculosis, tuberculosis of ascen–ding colon, hepatic flexor, transverse colon and terminal ilium. The results were satisfactory, two patients died of post–operative shock. In the present series wide redaction and end to end anastomoses was the choice of operation for many surgeons. It was performed in about 34% cases. Out of 50 cases reported only 2 patients died, so the mortality rate is about 4%. Conclusion: In abdominal tuberculosis, surgical treatment followed by antituberculosis drug treatment will give excellent result.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Jaydeep Gadhavi, Dr Nehal Naik, Dr Hiren Parmar The surgical treatment of abdominal tuberculosis- study of 50 cases International Journal of Scientific Research, Vol : 5, Issue : 1 January 2016

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