ArticleInternational journal of colorectal disease2009
Lower gastrointestinal tract tuberculosis: an important but neglected disease.
Article in International journal of colorectal disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Gastrointestinal tuberculosis: A systematic review of epidemiology, presentation, diagnosis and treatment.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationPooled it
- Diagnosis of Pediatric Inflammatory Bowel Disease (PIBD)-Implications for the Asia-Pacific Region: A Position Paper from the Asian Pan-Pacific Society for Pediatric Gastroenterology, Hepatology, and Nutrition PIBD Working Group.Pediatric gastroenterology, hepatology & nutrition · 2026Review
- Differentiating gastrointestinal tuberculosis and Crohn's disease- a comprehensive review.BMC gastroenterology · 2023Review
- Miliary Tuberculosis: A Case Report Highlighting the Diagnostic Challenges Associated With the Condition.Cureus · 2022Article
- Differentiating Crohn's disease from intestinal tuberculosis.World journal of gastroenterology · 2019Review
- Gastrointestinal Tuberculosis Presenting as Malnutrition and Distal Colonic Bowel Obstruction.Case reports in gastrointestinal medicine · 2018Article
- Evaluation of Xpert MTB/RIF assay performance in the diagnosis of abdominal tuberculosis.Intestinal research · 2017Article
- Acid-fast bacilli culture positivity and drug resistance in abdominal tuberculosis in Mumbai, India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2014Article
- The utility of stool cultures for diagnosing tuberculosis in people living with the human immunodeficiency virus.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2013Article
- Lifting the lid on toilet plume aerosol: a literature review with suggestions for future research.American journal of infection control · 2013Review
- Mycobacterial Etiology of Pulmonary Tuberculosis and Association with HIV Infection and Multidrug Resistance in Northern Nigeria.Tuberculosis research and treatment · 2013Article
- Intestinal Tuberculosis with Hoarseness as a Chief Complaint due to Mediastinal Lymphadenitis.Case reports in gastroenterology · 2011Article
- Differentiation of Crohn's disease from intestinal tuberculosis in India in 2010.World journal of gastroenterology · 2011Review
- Diagnosing lower gastrointestinal tuberculosis: colonoscopy is essential.International journal of colorectal disease · 2010Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDifficulties in early and accurate diagnosis of intestinal tuberculosis lead to frequent misdiagnosis even in endemic areas. This study aimed to investigate clinical and laboratory characteristics of patients with lower gastrointestinal tract tuberculosis (LGITB). MATERIALS AND
methodsPatients who met the criteria for LGITB in a medical center from 1997 to 2006 were identified and their medical records reviewed.
resultsA number of 4,567 patients with culture or histology-proven tuberculosis were identified, and 30 (0.66%) were diagnosed with LGITB. Principal co-morbidities were type II diabetes mellitus (23%) and alcoholism (23%). Twenty-two (73%) had radiographic findings suggestive of pulmonary tuberculosis, which was culture-proven in 13. Mycobacterial cultures from stool or sputum had diagnostic yields of about 50%, comparable to that of histological studies of colonoscopic or surgical biopsies. Multidrug-resistant tuberculosis (MDRTB) was identified in four patients, including two alcoholics. Fourteen underwent surgery; two (14%) received right hemicolectomy under the diagnosis of colon cancer without pre- or intraoperative histological study. The 1-year mortality was 20% but was 50% in patients with MDRTB.
conclusionsA high rate of alcoholism and diabetes mellitus and a high percentage of MDRTB among alcoholics were observed in our patients with LGITB. The diagnostic yields of stool or sputum mycobacterial culture (50%) were similar to that of intestinal histological study. Pre- or intraoperative histological examination could prevent unnecessarily extensive surgery.
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