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

dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.contributor.authorAra, C
dc.contributor.authorSogutlu, G
dc.contributor.authorYildiz, R
dc.contributor.authorKocak, O
dc.contributor.authorIsik, B
dc.contributor.authorYilmaz, S
dc.contributor.authorKirimlioglu, V
dc.date.accessioned2024-08-04T20:13:48Z
dc.date.available2024-08-04T20:13:48Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntestinal tuberculosis is a major problem in marry 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. (c) 2005 The Society for Surgery of the Alimentary Tract.en_US
dc.identifier.doi10.1016/j.gassur.2004.09.034
dc.identifier.endpage517en_US
dc.identifier.issn1091-255X
dc.identifier.issue4en_US
dc.identifier.pmid15797233en_US
dc.identifier.scopus2-s2.0-15944388602en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage514en_US
dc.identifier.urihttps://doi.org/10.1016/j.gassur.2004.09.034
dc.identifier.urihttps://hdl.handle.net/11616/93859
dc.identifier.volume9en_US
dc.identifier.wosWOS:000228654100011en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Gastrointestinal Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectintestinal tuberculosisen_US
dc.subjectperforationen_US
dc.subjecttreatmenten_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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