ArticleBMC gastroenterology2020
EUS in the diagnosis of pathologically undiagnosed esophageal tuberculosis.
Article in BMC gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Pooled it
- Case Report: Endoscopic ultrasound-guided fine-needle biopsy for the diagnosis of esophageal tuberculosis.Frontiers in medicine · 2025Article
- The Diagnosis of Esophageal Tuberculosis through an Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy.Internal medicine (Tokyo, Japan) · 2024Article
- Role of Endoscopy in Esophageal Tuberculosis: A Narrative Review.Journal of clinical medicine · 2022Review
- Current role of endoscopic ultrasound for gastrointestinal and abdominal tuberculosis.JGH open : an open access journal of gastroenterology and hepatology · 2022Review
- Isolated esophageal tuberculosis: A case report.World journal of gastrointestinal endoscopy · 2022Article
- Esophageal Tuberculosis as a Rare Cause of Dysphagia: Case Report.Case reports in gastroenterologyArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEsophageal tuberculosis (ET) is relatively rare, and the diagnosis is challenging. The aim of this study was to evaluate the clinical features of ET and highlight the role of endoscopic ultrasonography (EUS) in the diagnosis of pathologically undiagnosed ET.
methodsWe retrospectively analysed the clinical features, radiological performances, conventional endoscopic appearances, EUS features, treatment and outcomes of pathologically undiagnosed ET between January 2011 and December 2018. All 9 patients failed to be diagnosed by at least two repeated biopsies (such as routine biopsy, multipoint or deep biopsy, and even or EUS-guided fine-needle aspiration (EUS-FNA)).
resultsNine patients (66.7% female) with a mean age of 45 years (range 29-59) complained of retrosternal pain or discomfort, or (and) dysphagia. Esophagoscopy demonstrated protruding lesions in the mucosa with central ulcers or erosion in five patients, submucosal bulges with smooth surfaces in one patient, submucosal bulges with diverticula in one patient, ulcers with suspicious fistula formation in one patient, and multiple ulcers in one patient. None of the patients received confirmed histopathological or bacteriological diagnoses by repeated biopsies. However, they were first suspected to have ET based on EUS examination. Because EUS found some characteristic ultrasonographic changes, which were very helpful for the diagnosis of ET when combined with clinical manifestations, the patients subsequently received diagnostic antituberculosis therapy. Finally, the patients recovered or improved with follow-up times ranging from 3 to 10 months.
conclusionsEUS could help in the diagnosis of ET on basis of EUS features like poorly defined esophageal wall structure, enlarged paraesophageal or mediastinal lymph nodes, hypoechoic lesions of esophageal wall that are linked to the enlarged paraesophageal lymph nodes. However all attempts should be made to obtain histological or microbiological diagnosis.
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