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Intestinal obstruction due to tuberculosis.

Van Hai Nguyen1

  • 1Department of General Surgery, Nhan Dan Gia Dinh Hospital, University of Medicine and Pharmacy, 215 An Duong Vuong Str, Dist 5, Ho Chi Minh City, Vietnam.

Asian Journal of Surgery
|October 12, 2002
PubMed
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Tuberculosis causing intestinal obstruction is rare. Resection surgery is a safer and more effective treatment than ileocolostomy for managing this condition.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Oncology

Background:

  • Intestinal obstruction is a common surgical emergency.
  • Tuberculosis can manifest as intestinal obstruction, a rare complication.
  • Hypertrophic intestinal tuberculosis is a significant cause of bowel obstruction.

Purpose of the Study:

  • To define the clinical characteristics of intestinal obstruction caused by tuberculosis.
  • To assess the efficacy of surgical interventions for this condition.
  • To guide the selection of optimal surgical procedures.

Main Methods:

  • A 7-year retrospective analysis (1992-1998) of 23 patients with intestinal obstruction.
  • Patients accounted for 4.5% of all mechanical intestinal obstructions.

Related Experiment Videos

  • Clinical data and surgical outcomes were reviewed, with a focus on advanced pulmonary tuberculosis.

    • Main Results:

    • Over 80% presented with lower small bowel obstruction symptoms.
    • Ileocaecal region was the most common site of obstruction (54.6%).
    • Hypertrophic intestinal tuberculosis was the primary cause in 86.4% of cases; diagnosis was challenging due to non-specific symptoms.

    Conclusions:

    • Ileocolostomy, used in 68.2% of cases, had suboptimal long-term outcomes and led to blind loop syndrome.
    • Surgical resection is recommended as a safer and more effective management strategy.
    • Further research into optimal surgical techniques for intestinal tuberculosis obstruction is warranted.