J Korean Surg Soc.
2000 Feb;58(2):245-251.
Clinical Analysis of Operative Treatment of Intestinal Tuberculosis
- Affiliations
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- 1Department of Surgery, Korea University Medical College.
- 2Department of Surgery, Konyang University Medical College.
Abstract
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BACKGROUND: Intestinal tuberculosis is often diagnosed in its late stage because the symptoms are not
specific, so the disease has high mortality and morbidity. Appropriate surgical intervention and prompt
initiation of anti-tuberculosis medications can successfully treat intestinal tuberculosis. The
purpose of this article is to report the clinical characteristics of intestinal tuberculosis and to
establish the surgical perspective.
METHODS
We retrospectively observed 60 patients who were pathologically proven to have had intes
tinal tuberculosis and who had been surgically treated at the Department of Surgery, Korea University
Hospital, from Jan. 1985 to Dec. 1997.
RESULTS
The ratio of males to females was 1:1.22, and the peak incidence was the second and the
third decades (60%). Clinical findings and physical examinations were not helpful for the preoperative
diagnosis. Twenty-four patients (40%) had pulmonary tuberculosis. The correct diagnosis was made in
only 31 of 60 patients (51.7%) prior to the operation. The frequently involved sites were the terminal
ileum (53.3%), the cecum (38.3%), and the ascending colon (31.7%). Operative procedures were primarily
resection of the involved segment and anastomosis. The complication rate was 25%, and 2 patients (3.3%)
were died postoperatively.
CONCLUSION
Intestinal tuberculosis must be included in the differential diagnosis of obscure abdominal
conditions to avoid diagnosis delay, and surgery in combination with anti-tuberculosis medication is
required to treat complications such as intestinal obstruction and perforation.