Surgical Approach to Abdominal Tuberculosis

Abstract

BACKGROUND Tuberculosis is one of the common diseases in developing countries, extrapulmonary tuberculosis is common in gastrointestinal system. Surgical intervention is required along with chemotherapy, ultrasonography and tissue biopsy of available tools to diagnose the abdominal tuberculosis. Surgical approach is mandatory when complication of abdominal tuberculosis present. This study is done to overcome the complications of abdominal tuberculosis and its management. The aim of the study is toa) Evaluate the incidence of the disease with regard to age, sex and socioeconomic status. b) Evaluate the different modes of presentation and its clinical features. c) Evaluate different varieties of abdominal tuberculosis. d) Evaluate role of investigation, procedure to diagnose the abdominal tuberculosis. e) Evaluate the different modalities of treatment to the different presentation of abdominal tuberculosis. MATERIALS AND METHODS Cases of abdominal tuberculosis admitted in KIMS, Karwar, a tertiary care government hospital from January 2014 to December 2015 have been taken for the study. A total of 100 cases taken off for the study.

Acute Presentation and Management of Abdominal Tuberculosis

“…3,7 However, in the developed world, abdominal tuberculosis is mostly seen in older, immunocompromised patients or in immigrants from endemic areas. 15,19 The peak incidence of abdominal tuberculosis in the productive years of life puts a great impact on the economy of the family and the society as a whole.…”

“…Moreover, stasis and increased physiological exchange of fluid and electrolytes lead to increase in the contact time of pathogens with ileal mucosa rendering this region vulnerable for the development of intestinal tuberculosis. [16][17][18][19][20] Diagnosis was made depending on histopathology in our study. Routine microscopy with AFB stain, tissue culture, and PCR can be used for diagnosis.…”