A Never-Ending Challenge: Intestinal Tuberculosis or Inflammatory Bowel Disease

Yavuz, Arda; Yıldırım, Arzu; Akan, Kaya; Tuncer, İlyas

doi:10.7759/cureus.16282

Cited by 2 publications

(4 citation statements)

References 5 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…EUS-guided FNA may be effective in diagnosing gastrointestinal tuberculosis when no lymphadenopathy or solid organ involvement is seen. 4 Needles in 19-, 22-, and 25-gauge sizes are most commonly used for FNA. 6 A previous study examined the role of EUS-guided FNA in diagnosing abdominal lymphadenopathy.…”

Section: Eus-guided Fna and Fine-needle Biopsy In Abdominal Tbmentioning

confidence: 99%

“…EUS‐guided FNA may be effective in diagnosing gastrointestinal tuberculosis when no lymphadenopathy or solid organ involvement is seen. 4 Needles in 19‐, 22‐, and 25‐gauge sizes are most commonly used for FNA. 6 …”

Section: Eus‐guided Fna and Fine‐needle B...mentioning

confidence: 99%

“…Therefore, diagnosing abdominal TB may be challenging due to its nonspecific findings 3 . Precise diagnosis is vital, as different treatment approaches depend on the diagnosis 4,5 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Current role of endoscopic ultrasound for gastrointestinal and abdominal tuberculosis

et al. 2022

View full text Add to dashboard Cite

A high incidence of tuberculosis (TB), especially in endemic countries, makes this infectious disease a concern. Abdominal TB contributes to 10% of extrapulmonary TB. Due to nonspecific clinical, radiological, and endoscopic findings, diagnosing abdominal TB continues to be a challenge. Hence, a precise diagnosis is needed. The diagnosis of gastrointestinal disease using endoscopic ultrasound (EUS) is often performed due to its high resolution and ability to provide a real-time visual representation of the gastrointestinal tract and extramural structures. EUS-guided fine-needle aspiration (FNA) and fineneedle biopsy (FNB) have helped diagnose TB as they offer an adequate specimen for cytology or histopathological examination. This method is considered safer, more effective, and more efficient. The capacity of EUS to diagnose abdominal TB based on the affected organs was examined via a literature search. We reviewed the role of EUS in diagnosing esophageal, gastric, pancreatic, peripancreatic, hepatosplenic, peritoneal, and intestinal TB. Generally, EUS aids in diagnosing abdominal TB. In some organs, it is superior to other diagnostic modalities. However, further examinations, such as cytology or histopathology and microbial, are still needed. We also studied the roles of EUS-FNA and EUS-FNB. EUS-FNA has shown a high diagnostic yield in esophageal (94.3-100%), pancreatic and peripancreatic (76.2%), and intestinal TB (84.1%). As minimally invasive methods, EUS-FNA and EUS-FNB can successfully provide sufficient samples. EUS is a functional diagnostic modality for abdominal TB. EUS-FNA and EUS-FNB provide sufficient samples safely and efficiently for further cytology, histopathology, and microbial examinations. Esophageal tuberculosisEsophageal TB is uncommon and has nonspecific clinical, laboratory, radiological, and endoscopic features. With prevalence

show abstract

Section: Eus-guided Fna and Fine-needle Biopsy In Abdominal Tbmentioning

confidence: 99%

Section: Eus‐guided Fna and Fine‐needle B...mentioning

confidence: 99%

See 1 more Smart Citation

Current role of endoscopic ultrasound for gastrointestinal and abdominal tuberculosis

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Туберкулез (ТБ) является серьезной проблемой здравоохранения. В 2016 г. он вошел в десятку основных причин смерти во всем мире [1]. Заболеваемость ТБ высока в большинстве стран Азиатско-Тихоокеанского региона и стран Африки, на их долю приходится 56% новых случаев.…”

Section: Introductionunclassified

Tuberculosis infection in patients with inflammatory bowel diseases. Clinacal cases

Timanovskaia,

Shaykhtdinova,

Zhulina

et al. 2023

Terapevticheskii arkhiv

View full text Add to dashboard Cite

In most cases Tuberculosis (TB) affects the lungs, but 10–15% of patients have extrapulmonary TB localisations, that is difficult to diagnose. TB is more spread among patients having the human immunodeficiency virus and among those who receive immunosuppressive therapy, specifically in patients with inflammatory bowel disease requiring long-term treatment with immunosuppressants and/or biologics. The symptoms of intestinal TB are nonspecific and may include chronic diarrhea, weight loss, fever and ascites. Differential diagnosis includes Crohn's disease, malignant neoplasms, periappendiceal abscesses, yersiniosis, etc. The article presents cases showing similarity of the intestinal form of TB with Crohn's disease, complexity dealing, diagnosing and treating patients with inflammatory bowel disease also having latent tuberculosis infection

show abstract

A Never-Ending Challenge: Intestinal Tuberculosis or Inflammatory Bowel Disease

Cited by 2 publications

References 5 publications

Current role of endoscopic ultrasound for gastrointestinal and abdominal tuberculosis

Current role of endoscopic ultrasound for gastrointestinal and abdominal tuberculosis

Tuberculosis infection in patients with inflammatory bowel diseases. Clinacal cases

Contact Info

Product

Resources

About