Spontaneous small bowel perforations due to intestinal tuberculosis should not be repaired by simple closure
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
J Gastrointest Surg. , 0–0.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Intestinal tuberculosis is a major problem in many regions of the world. The incidence of it is rising in Western countries due to immigration from Third World countries and human immunodeficiency virus infection. The difference between the simple closure and resection and anastomosis was evaluated in this study. Retrospectively, 12 patients with intestinal tuberculosis diagnosed histopathologically among 50 patients with free intestinal perforations operated on between 1995 and 2003 at Turgut Ozal Medical Center were evaluated. Each patient underwent routine laboratory tests and radiologic studies. The most common symptoms of patients were abdominal pain, night sweats, and weight loss. Sites of perforation were ileum in 10 patients (multiple perforation in 4) and jejunum in 2 patients (both had multiple perforations). The perforation was closed by primary closure in 7 patients. Resection-anastomosis was performed in 5 patients. Leaks occurred in overall 3 of 7 patients with primary closure. Three of the 7 patients with leaks due to septicemia died. The mortality rate among all patients was 25%. Intestinal tuberculosis should be kept in mind as a cause in free intestinal perforations. Because of high mortality rate, the resection of the affected area and anastomosis may be the treatment of choice rather than primary closure.
Açıklama
J Gastrointest Surg. 2005 Apr;9(4):514-7.
Anahtar Kelimeler
Kaynak
J Gastrointest Surg. , 0–0.
WoS Q Değeri
Scopus Q Değeri
Cilt
0
Sayı
0
Künye
Ara, C., Söğütlü, G., Yıldız, R., Koçak, Ö., Işık, B., Yılmaz, S., & Kırımlıoğlu, V. (2005). Spontaneous Small Bowel Perforations Due To İntestinal Tuberculosis Should Not Be Repaired By Simple Closure . J Gastrointest Surg. , 0–0.
