A clinical study of tuberculous colitis

Hoshino, Makoto; Shibata, Mitsugu; Goto, Nobuo; Yokochi, Makoto; Gotō, Kazuo; Kishikawa, M.; Sako, Takeshi; Nakao, Akimasa; Takimoto, H.; Ito, Nozomi; Hayashi, Kotaro; Miyaji, Makoto; Itō, Makoto; Takeuchi, Toshihiko

doi:10.1007/bf02774225

Cited by 11 publications

(2 citation statements)

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“…3 ) [ 3 , 18 , 19 ]. Although the typical histologic feature of caseating granuloma, positive acid-fast staining, and/or isolation of Mycobacterium tuberculosis from the culture of biopsy specimens can confirm ITB, these findings are present in fewer than 50% of patients [ 20 , 21 ]. Therefore, acquisition of more than three biopsy samples from the margin and base of ulcers is recommended to increase the diagnostic yield [ 3 ].…”

Section: Typical Endoscopic Findings Of Inflammatory Bowel Diseasementioning

confidence: 99%

Endoscopic Diagnosis and Differentiation of Inflammatory Bowel Disease

Lee

2016

Clin Endosc

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Patients with inflammatory bowel disease have significantly increased in recent decades in Korea. Intestinal tuberculosis (ITB) and intestinal Behcet’s disease (BD), which should be differentiated from Crohn’s disease (CD), are more frequent in Korea than in the West. Thus, the accurate diagnosis of these inflammatory diseases is problematic in Korea and clinicians should fully understand their clinical and endoscopic characteristics. Ulcerative colitis mostly presents with rectal inflammation and continuous lesions, while CD presents with discontinuous inflammatory lesions and frequently involves the ileocecal area. Involvement of fewer than four segments, a patulous ileocecal valve, transverse ulcers, and scars or pseudopolyps are more frequently seen in ITB than in CD. A few ulcers with discrete margins are a typical endoscopic finding of intestinal BD. However, the differential diagnosis is difficult in many clinical situations because typical endoscopic findings are not always observed. Therefore, clinicians should also consider symptoms and laboratory, pathological, and radiological findings, in addition to endoscopic findings.

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Section: Typical Endoscopic Findings Of Inflammatory Bowel Diseasementioning

confidence: 99%

Endoscopic Diagnosis and Differentiation of Inflammatory Bowel Disease

Lee

2016

Clin Endosc

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“…The distinction between intestinal tuberculosis and Crohn's disease may be extremely difficult, even when the results of endoscopy, surgery, and histologic evaluation are available [8]. Although the diagnosis of intestinal tuberculosis can be confirmed when caseating granulomas or acid-fast bacilli are identified during the histologic examination of colonoscopic biopsy specimens or when Mycobacterium tuberculosis is isolated from the culture of biopsy specimens, these findings are positive in fewer than 50 % of patients with intestinal tuberculosis [9,10]. Moreover, Crohn's disease is not characterized by pathognomonic findings.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Colonoscopic Findings in the Differential Diagnosis Between Intestinal Tuberculosis and Crohn’s Disease

et al. 2006

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Intestinal tuberculosis: Findings on double-contrast barium enema

Nakano

Jaramillo

Watanabe

et al. 1992

Gastrointest Radiol

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Seven cases of intestinal tuberculosis in an active stage were studied by the double-contrast barium enema (DCBE) method. Formerly, diagnosis of intestinal tuberculosis in the early stage by single-contrast barium enema (SCBE) and barium meals was based on functional phenomena, such as spasm and hypermotility of the ileocecal region. Presently, this can be better accomplished by DCBE. DCBE enables the detection of shallow ulcers with their characteristic elevated margins. These ulcers are frequently slim and transversally oriented. Confluence of ulcers may create whole girdle ulcers or affect entire segments. In more advanced stages, characteristic deformities, also evident by SCBE, such as symmetrical annular stenoses, shortening, retraction, pouch formation, and the frequently observed pathology of the ileocecal valve and the cecal region, acquire a new dimension with DCBE.

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A clinical study of tuberculous colitis

Cited by 11 publications

References 2 publications

Endoscopic Diagnosis and Differentiation of Inflammatory Bowel Disease

Endoscopic Diagnosis and Differentiation of Inflammatory Bowel Disease

Analysis of Colonoscopic Findings in the Differential Diagnosis Between Intestinal Tuberculosis and Crohn’s Disease

Intestinal tuberculosis: Findings on double-contrast barium enema

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