ILEOCAECAL TUBERCULOSIS

EVALUATION OF MANAGEMENT STRATEGIES IN PATIENTS

Authors

  • Ahmed Hussain Liaquat University of Medical and Health Sciences (LUMHS) Jamshoro
  • Naeem ul Karim Bhatti Peoples University of Medical & Health Sciences Nawabshah
  • Syed Kashif Ali Shah Peoples University of Medical & Health Sciences Nawabshah
  • Zaheer Ahmed Medeor 24 X7 Hospital, Abu Dhabi
  • Hamid Nawaz Ali Memon Liaquat University Hospital Hyderabad/ LUMHS, Jamshoro, Sindh Pakistan
  • Syed Zulfiquar Ali Shah Liaquat University Hospital Hyderabad, Sindh, Pakistan

DOI:

https://doi.org/10.29309/TPMJ/2016.23.12.1801

Keywords:

Ileocaecal tuberculosis, Tuberculosis, Ileocaecal resection, Right hemicolectomies and Mass in right iliac fossa

Abstract

Objectives: To evaluate the management strategies of patients with ileocaecal
tuberculosis. Study Design: Cross sectional multi-institutional study. Period: One year. Setting:
Liaquat University Hospital Hyderabad / Jamshoro and Peoples University Hospital Nawabshah.
Patients and Methods: All the patients of ≥11 years of age, either gender diagnosed as
ileocaecal tuberculosis were recruited, enrolled and evaluate for management strategies. The
data was analyzed in SPSS 16 and the frequency and percentage was calculated. Results:
During one year study period total 85 patients were identified and diagnosed as ileocaecal
tuberculosis. The mean age ±SD for whole population was 39.72±7.73 while it was 37.87±8.83
and 40.88±8.52 in male and female population whereas the mean ± SD for duration of
symptoms of whole study population was 5.52±1.61 months respectively. Sixty nine (81%)
patients managed surgical while 16 (19%) managed conservatively. The non specific symptoms
i.e. fever, pain and tender abdomen, loss of weight and appetite was observed while 70%
subjects had Hb% was <10 gms and 80% of individuals had ESR > 40 mm/1st hour whereas
common radiological impression observed were narrowing of terminal ileum, pulled up caecum
and obtuse ileocaecal angle. Conclusion: Ileocaecal tuberculosis management includes
conservatives and surgical, the surgical options are ileocaecal resection, right hemicolectomies
and stricturoplasty

Author Biographies

Ahmed Hussain, Liaquat University of Medical and Health Sciences (LUMHS) Jamshoro

Assistant Professor
Department of Surgery

Naeem ul Karim Bhatti, Peoples University of Medical & Health Sciences Nawabshah

Senior Registrar
Department of Surgery

Syed Kashif Ali Shah, Peoples University of Medical & Health Sciences Nawabshah

Assistant Professor
Department of Surgery

Zaheer Ahmed, Medeor 24 X7 Hospital, Abu Dhabi

General Practitioner

Hamid Nawaz Ali Memon, Liaquat University Hospital Hyderabad/ LUMHS, Jamshoro, Sindh Pakistan

Postgraduate Resident
Department of Medicine

Syed Zulfiquar Ali Shah, Liaquat University Hospital Hyderabad, Sindh, Pakistan

Department of Medicine

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Published

2016-12-10