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Sricturoplasty in tuberculous small bowel strictures.

Muhammad Akbar1

  • 1Department of Surgery, Ayub Medical College, Abbottabad. akbar@ayubmed.edu.pk

Journal of Ayub Medical College, Abbottabad : JAMC
|October 14, 2003
PubMed
Summary

Stricturoplasty effectively treats tuberculous small bowel strictures, offering a safe and simple surgical option. This procedure is particularly beneficial for resource-limited district hospitals managing intestinal tuberculosis.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Infectious Diseases

Background:

  • Evaluated tuberculous small bowel strictures at district hospitals.
  • Assessed stricturoplasty for treating these lesions.

Purpose of the Study:

  • To evaluate the clinical presentation of tuberculous small bowel strictures.
  • To assess the utility and applicability of stricturoplasty for these strictures.

Main Methods:

  • Included 10 patients diagnosed with tuberculous small bowel strictures via laparotomy and histopathology.
  • Performed Heinki/Mikulicz's type stricturoplasty on all patients.
  • Managed patients with antitubercular drugs and followed outcomes.

Main Results:

  • 70% of patients presented for emergency surgery.
  • Common features included weight loss and malnutrition; terminal ileum involvement was frequent.
  • Stricturoplasty demonstrated efficacy in both acute and chronic cases.

Conclusions:

  • Stricturoplasty is a safe, simple, and easily applicable procedure.
  • It is particularly suitable for district hospitals with limited resources and staff.
  • The technique offers a viable treatment option for intestinal tuberculosis strictures.

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