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Abdominal tuberculosis: diagnosis by laparoscopy and colonoscopy
Md Ibrarullah1, A Mohan, A Sarkari
1Department of Surgical Gastroenterology, SV Institute of Medical Sciences, Tirupati-517 507, AP, India. svimshosp@yahoo.com
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|April 16, 2003
Summary
Laparoscopy diagnosed abdominal tuberculosis in 87% of patients, while colonoscopy identified colonic and ileal lesions in 54%. These procedures offer valuable diagnostic insights into abdominal tuberculosis.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Endoscopy
Background:
- Histopathological confirmation of abdominal tuberculosis is challenging due to limited noninvasive access.
- Peritoneoscopy and colonoscopy offer semi-invasive visualization of the peritoneum and gastrointestinal tract.
- Diagnostic yield data for these endoscopic procedures in abdominal tuberculosis are scarce.
Purpose of the Study:
- To evaluate the diagnostic efficacy of laparoscopy and colonoscopy for abdominal tuberculosis.
- To assess the role of these endoscopic interventions in diagnosing peritoneal and intestinal involvement.
Main Methods:
- Retrospective review of 34 patients diagnosed with abdominal tuberculosis via laparoscopy or colonoscopy between 1998 and 2001.
- Analysis of diagnostic findings, including visual evidence and biopsy results, from both procedures.
Main Results:
- Laparoscopy yielded a positive diagnosis in 87% (20/23) of patients with peritoneal tuberculosis, with histology confirming in 67% (10/15).
- Colonoscopy diagnosed colonic and terminal ileal lesions in 54% (6/11) of patients, with no reported complications.
- Visual findings for peritoneal tuberculosis included ascites, tubercles, and adhesions; intestinal findings involved hyperemic segments and mucosal lesions.
Conclusions:
- Laparoscopy is a safe and effective diagnostic tool for abdominal tuberculosis, achieving an 87% diagnostic rate.
- Colonoscopy provides a 54% diagnostic yield for colonic and terminal ileal tuberculosis, proving useful for these specific locations.