Spontaneous small bowel perforations due to intestinal tuberculosis should not be repaired by simple closure

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dc.contributor.authorAra, Cengiz
dc.contributor.authorSöğütlü, Gökhan
dc.contributor.authorYıldız, Ramazan
dc.contributor.authorKoçak, Özcan
dc.contributor.authorIşık, Burak
dc.contributor.authorKırımlıoğlu, Vedat
dc.date.accessioned2018-02-09T12:33:24Z
dc.date.available2018-02-09T12:33:24Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.descriptionJ Gastrointest Surg. 2005 Apr;9(4):514-7.en_US
dc.description.abstractIntestinal 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.en_US
dc.identifier.citationAra, 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.en_US
dc.identifier.endpage0en_US
dc.identifier.issue0en_US
dc.identifier.startpage0en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pubmed/15797233
dc.identifier.urihttps://hdl.handle.net/11616/8070
dc.identifier.volume0en_US
dc.language.isoenen_US
dc.publisherJ Gastrointest Surg. , 0–0.en_US
dc.relation.ispartofJ Gastrointest Surg. , 0–0.en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleSpontaneous small bowel perforations due to intestinal tuberculosis should not be repaired by simple closureen_US
dc.typeArticleen_US

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