Recent advancements in management of gastrointestinal tuberculosis
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20183559Keywords:
GI, ATB, Tuberculosis, Diagnosis GI TB, Recent advanced managmentAbstract
Abdominal tuberculosis and its protean manifestations still create a worldwide diagnostic challenge for clinicians and remain an important concern in the developing world. Crohn’s disease, which is being increasingly recognized in countries where intestinal tuberculosis is prevalent, needs to be differentiated as the two diseases resemble each other in their clinical presentation, and in their radiological, endoscopic, and histological findings. New diagnostic modalities and scoring systems have facilitated the differentiation of Crohn’s disease from intestinal tuberculosis with good accuracy. Randomized trials have shown 6 months of therapy to be equivalent to longer durations of treatment for patients with abdominal tuberculosis.
References
Butt T, Karamat KA, Ahmad RN, Mahmood A. Advances in diagnosis of tuberculosis. Pak J Pathol. 2001;12:1-3.
Kapoor VK. Modern Management of Abdominal Tuberculosis. In: Taylor I, Johnson CD, (Eds) Recent Advances of Surgery. 2013: 156–169.
World Health Orgainzation. Global Tuberculosis report 2016. Available at: http://apps.who.int/iris/ bitstream/10665/250441/1/9789241565394-eng.pdf?ua=1. Accessed on 3 May 2018.
Arora VK, Rajnish G. Trends of extra pulmonary tuberculosis under revised national tuberculosis control programme: A study from south Delhi. Indian J Tuberc. 2006;53(2):77-83.
Choi EH, Coyle WJ. Gastrointestinal tuberculosis. Microbiol Spectr. 2016;4(6):1.
Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004;120(4):305-15.
Sharma SK, Mohan A. Extrapulmonary tuberculosis. Indian J Med Res. 2004;120(4):316-53.
Donoghue HD, Holton J. Intestinal tuberculosis. Curr Opin Infect Dis. 2009;22(5):490-6.
Skopin MS, Batyrov FA, Kornilova Z. The prevalence of abdominal tuberculosis and the specific features of its detection. Probl Tuberk Bolezn Legk. 2007;1:22-6.
Khan IA, Khattak IU, Asif S, Nasir M, Ziaur R. Abdominal tuberculosis an experience at Ayub Teaching Hospital Abbottabad. J Ayub Med Coll Abbottabad. 2008;20:115-8.
Guirat A, Koubaa M, Mzali R, Abid B, Ellouz S, Affes N, et al. Peritoneal tuberculosis. Clini Res Hepatol Gastroenterol. 2011; 5(1):60-9.
Vaid U, Kane GC. Tuberculous Peritonitis. Microbiol Spectr. 2017;5(1).
Sharma V, Singh H, Mandavdhare HS. Tubercular abdominal cocoon: Systematic review of an uncommon form of tuberculosis. Surg Infect (Larchmt). 2017;18(6):736-41.
Mohammed A. Clinical Profile and Surgical Outcome of Abdominal Tuberculosis-A Retrospective Analysis. Int J Med Health Sci. 2013;2:402-6.
Patel N, Amarapurkar D, Agal S, Baijal R, Kulshrestha P, Pramanik S, et al. Gastrointestinal luminal tuberculosis: Establishing the diagnosis. J Gastroenterol Hepatol. 2004;19(11):1240-6.
Al-Bahrani ZR, Al-Saleem T. Intestinal tuberculosis in Iraq: A study of 50 cases. Int Surg. 1982;67(4 Suppl):483-5.
Paustian FF. Tuberculosis of the intestine. Bockus HL (eds.), Gastroenterology, 2nd edition, Philadelphia: WB Saunders Co. 1964.
Logan VS. Anorectal tuberculosis. Proc R Soc Med. 1969;62(12):1227-30.
Nayak S, Acharjya B. Mantoux test and its interpretation. Indian Dermat Online J. 2012;3(1):2-6.
Runyon BA, Hoefs JC, Morgan TR. Ascitic fluid analysis in malignancy-related ascites. Hepatology. 1988;8(5):1104-9.
Li N, Zhu W, Li Y, Gong J, Gu L, Li M, et al. Surgical treatment and perioperative management of idiopathic abdominal cocoon: Single-center review of 65 cases. World J Surg. 2014;38(7):1860-7.
Sharma R, Madhusudhan K, Ahuja V. Intestinal tuberculosis versus Crohn’s disease: Clinical and radiological recommendations. Indian J Radiol Imaging. 2016;26(2):161-72.
Kedia S, Sharma R, Bopanna S, Yadav D, Goyal S, Jain S, et al. Accuracy of computed tomographic features in differentiating intestinal tuberculosis from Crohn’s disease: A systematic review with meta-analysis. Intest Res. 2017;15(2):149-59.
Krishna S, Kalra N, Singh P, Kochhar R, Gupta R, Singh R, et al. Small-bowel tuberculosis: A comparative study of MR enterography and small-bowel follow-through. AJR Am J Roentgenol. 2016;207(3):571-7.
Tao L, Ning HJ, Nie HM, Guo XY, Qin SY, Jiang HX. Diagnostic value of adenosine deaminase in ascites for tuberculosis ascites: A meta-analysis. Diagn Microbiol Infect Dis. 2014;79(1):102-7.
Liao YJ, Wu CY, Lee SW, Lee CL, Yang SS, Chang CS, et al. Adenosine deaminase activity in tuberculous peritonitis among patients with underlying liver cirrhosis. World J Gastroenterol. 2012;18(37):5260-5.
Sanai FM, Bzeizi KI. Systematic review: Tuberculous peritonitis--Presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther. 2005;22(8):685-700.
Chau TN, Leung VK, Wong S, Law ST, Chan WH, Luk IS, et al. Diagnostic challenges of tuberculosis peritonitis in patients with and without end-stage renal failure. Clin Infect Dis. 2007;45(12):e141-6.
Bhargava DK, Shriniwas, Chopra P, Nijhawan S, Dasarathy S, Kushwaha AK. Peritoneal tuberculosis: Laparoscopic patterns and its diagnostic accuracy. Am J Gastroenterol. 1992;87(1):109-12.
Du J, Ma Yan-Yan, Xiang Ha, Li You-Ming. Confluent granulomas and ulcers lined by epithelioid histiocytes: New ideal method for differentiation of ITB and CD? A meta analysis. PloS One. 2014;9(10):e103303.
Hallur V, Sharma M, Sethi S, Sharma K, Mewara A, Dhatwalia S, et al. Development and evaluation of multiplex PCR in rapid diagnosis of abdominal tuberculosis. Diagn Microbiol Infect Dis. 2013;76(1):51-5.
Kumar S, Bopanna S, Kedia S. Evaluation of Xpert MTB/RIF assay performance in the diagnosis of abdominal tuberculosis. Intest Res. 2017;15(2):187-94.
Bera C, Michael JS, Burad D, Shirly SB, Gibikote S, Ramakrishna B, et al. Tissue Xpert™ MTB/Rif assay is of limited use in diagnosing peritoneal tuberculosis in patients with exudative ascites. Indian J Gastroenterol. 2015;34(5):395-8.
Rufai SB, Singh S, Singh A, Kumar P, Singh J, Vishal A. Performance of Xpert MTB/RIF on ascitic fluid samples for detection of abdominal tuberculosis. J Lab Physicians. 2017;9(1):47-52.
Pratap Mouli V, Munot K, Ananthakrishnan A, Kedia S, Addagalla S, Garg SK, et al. Endoscopic and clinical responses to anti-tubercular therapy can differentiate intestinal tuberculosis from Crohn’s disease. Aliment Pharmacol Ther. 2017;45(1):27-36.
Jullien S, Jain S, Ryan H, Ahuja V. Six-month therapy for abdominal tuberculosis. Cochrane Database Syst Rev. 2016;11:CD012163.
Samant H, Desai D, Abraham P, Joshi A, Gupta T, Rodrigues C, et al. Acid-fast bacilli culture positivity and drug resistance in abdominal tuberculosis in Mumbai, India. Indian J Gastroenterol. 2014;33(5):414-9.
Cherian JJ, Lobo I, Sukhlecha A, Chawan U, Kshirsagar NA, Nair BL, et al. Treatment outcome of extrapulmonary tuberculosis under Revised National Tuberculosis Control Programme. Indian J Tuberc. 2017;64(2):104-8.
Jamal S, Khan ZM, Ahmed I, Shabbir S. Presentation and Outcome of Abdominal Tuberculosis in a Tertiary Care Unit. Ann. Pak Inst Med Sci. 2011;7(1):33–6.
Nayagam JS, Mullender C, Cosgrove C, Poullis A. Abdominal tuberculosis: Diagnosis and demographics, a 10-year retrospective review from a single centre. World J Clin Cases. 2016;4(8):207-12.
Lee YJ, Yang SK, Byeon JS, Myung SJ, Chang HS, Hong SS, et al. Analysis of colonoscopic findings in the differential diagnosis between intestinal tuberculosis and Crohn’s disease. Endoscopy. 2006;38(6):592-7.
Limsrivilai J, Shreiner AB, Pongpaibul A, Laohapand C, Boonanuwat R, Pausawasdi N, et al. Meta-analytic Bayesian model for differentiating intestinal tuberculosis from Crohn’s disease. Am J Gastroenterol. 2017;112(3):415-27.