Related Experiment Video
Updated: Feb 25, 2026
15:49
Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
32.8K
BENIGN COLONIC STRICTURES - A STUDY OF TWENTY CASES
H S Pruthi1,2, S K Thakur3,2
1Assoc Prof (Medicine & Gastroenterology), Dept of Medicine, Armed Forces Medical College, Pune 411040.
Medical Journal, Armed Forces India
|August 4, 2017
Summary
Tuberculosis is the leading cause of benign colonic strictures, often presenting as intestinal obstruction. Most patients responded to medical therapy, but some required surgery.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Infectious Diseases
Background:
- Benign colonic strictures are uncommon but can cause significant morbidity.
- Etiologies include inflammatory bowel disease, ischemia, and infections.
Purpose of the Study:
- To analyze the causes, clinical presentation, diagnostic challenges, and management outcomes of benign colonic strictures.
Main Methods:
- Retrospective analysis of twenty cases of benign colonic strictures.
- Review of clinical data, histopathology reports, and treatment outcomes.
Main Results:
- Tuberculosis was the most common cause (65%), followed by ulcerative colitis (15%).
- Subacute intestinal obstruction (55%) and diarrhea (35%) were the main presentations.
- Histopathological diagnosis was achieved in only 45% of cases.
- Most patients responded to medical therapy; 35% required surgery.
Conclusions:
- Tuberculosis is a significant cause of benign colonic strictures, particularly in endemic areas.
- Accurate diagnosis can be challenging, necessitating a high index of suspicion.
- Management should be tailored to the underlying cause, with surgery reserved for refractory cases.
Related Concept Videos
01:30Esophageal Strictures-I: Introduction
998
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
998
01:21Inflammatory Bowel Disease V: Surgical Management
760
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
760
01:26Esophageal Strictures-II: Clinical Features and Management
761
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
761
01:25Assessment of the Rectum and Anus
1.5K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.5K
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
495
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
495
01:25Endoscopic Procedures II: Colonoscopy
882
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
882