ILEOCAECAL TUBERCULOSIS

EVALUATION OF MANAGEMENT STRATEGIES IN PATIENTS

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