International Journal of Health and Clinical Research
Yazarlar: Sushil Kumar Pandey, K K Singh
Konular:-
Anahtar Kelimeler:Tuberculosis,Small intestine,Fever,Anorexia,Vomiting.
Özet: Introduction: Tuberculosis can affect any part of the gastrointestinal tract from the mouth to the anus. The sites affected most often are the ileum, proximal colon and peritoneum.1 The incidence of tuberculosis of the small intestine is high in developing countries and has increased in developed countries because of the acquired immunodeficiency syndrome.Materials and methods: The study comprised of total 50 patients of intestinal tuberculosis, carried out at Department of Surgery, Mediniray Medical College, Palamu, Jharkhand, during the period from August 2019 to July 2020. Patients with abdominal pain suspected of intestinal tuberculosis and proven by histopathology, done after surgical intervention, were included in the study. Patients diagnosed after surgery and also without surgery based on clinical radiological and ascitic fluid ADA were also included in the study. Informed consent of the patients and patients’ parents (if patient is younger than 18 years), were taken and approval from the local ethical committee was obtained regarding the study. Results: More than 50% patients were between 11 to 30 years of age. Males and females equally affected by the condition. Fever, anorexia, vomiting and weight loss are common symptoms along with abdominal pain being present in all patients. Ileum was most commonly affected part of the intestine, while rectum was never seen to be involved in any cases in the study.Conclusion: As the condition affects children and adolescent more frequently, prevention, early diagnosis and proper medical treatment in this age group are very important factors to reduce the disease burden to society. As ileum was most commonly affected part, its surgical removal may lead to problems relating with malnutrition and needs long term follow up and further studies to know the long term consequences of surgery for the condition.