ArticleAnnals of medicine and surgery (2012)2026
Gastrocolic fistula in a patient with gastrointestinal tuberculosis: a case report from Nepal, a tuberculosis endemic region.
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction and importance: Tuberculosis (TB) is known to manifest in various forms. A gastrocolic fistula can be one such presentation of gastrointestinal TB. Case presentation: A 52-year-old female presented with recurrent episodes of postprandial pain, vomiting, fever with evening rise, and significant loss of weight. Esophagogastroduodenoscopy revealed proliferative growth with an opening involving the antrum of the stomach. Multiple biopsies were obtained, which revealed mycobacterium tuberculosis (MTB) on histopathology and polymerase chain reaction. A computed tomography of the abdomen confirmed a gastrocolic fistula. Distal gastrectomy with gastrojejunostomy and right hemicolectomy with ileocolonic anastomosis was performed in addition to the initiation of antitubercular therapy (ATT). She improved with this approach and is on regular follow-up. Clinical discussion: Gastrointestinal TB is a rare form of TB. In rare instances, it can manifest as a gastrocolic fistula. TB is a curable disease, and with timely treatment, significant comorbidity can be prevented. All possible efforts should be made to diagnose this entity. The cornerstone of diagnosis is histological analysis of the obtained biopsy or surgical specimen. If available, an MTB polymerase chain reaction analysis can provide a rapid diagnosis. For the diagnosis of fistula, cross-sectional imaging is crucial in conjunction with endoscopic examination. Optimal management requires surgical removal and repair of the affected segment, along with ATT for 6 months. Although TB is becoming rarer than ever, it remains a common health problem in developing nations like Nepal. Conclusion: In TB-endemic regions, TB should be considered and actively investigated as a possible cause of gastrocolic fistula, a curable condition.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.