ABDOMINAL TUBERCULOSIS IN JAMMU DIVISION OF J &K
Haseeb Mohammad Khandwaw
, Aamir Hussain Hela , Nasib Chand Digra , Mir Adnan Samad
Abdonimal tuberculosis, Tuberculosis of abdomen, Management of abdominal TB, Clinical presentation of Abdominal Tuberculosis
Introduction: Tuberculosis is an infectious disease that has plagued mankind since Neolithic times (8000 BC). Almost all cases of tuberculosis are caused by Mycobacterium tuberculosis. Tuberculosis mainly affects the people of low and middle socioeconomic status. Malnutrition, poor housing conditions, overcrowding and occupational hazards which are offshoots of poor socio-economic status are known to foster tuberculosis. Abdominal lymphadenopathy is the most common manifestation of abdominal tuberculosis and the most commonly involved lymph nodes are the mesenteric nodes. Abdominal tuberculosis (uncomplicated) is mainly managed by anti-tubercular drugs but the complications such as perforation peritonitis and acute intestinal obstruction require prompt surgical intervention followed by anti-tubercular drug therapy. Methods: The study was a prospective study conducted in the department of General Surgery, Govt. Medical College Jammu from 1st November 2018 to 31st October 2019. All patients suspected of having abdominal tuberculosis were thoroughly evaluated and Managed as per protocol. Results: In this study, 104 patients of abdominal tuberculosis who presented to emergency or OPD Department of General Surgery, GMC Jammu were studied.The maximum concentration of the study population was in the economically productive age group of 10-40 years, with a peak incidence in the age group of 21-30 years. The male to female ratio of the study population was 1.26. Pain abdomen was the most common presenting symptom in the study population, which was followed by vomiting (51.9%) and distension (34.6%). The most common sign in the study population was tenderness which was seen in 60 patients (57.7%). The most common procedures performed were stoma in 14 patients, adhesiolysis in 14 patients, resection anastomosis in 10 patients, resection with stoma in 4 patients. Conclusion: Patient having acute intestinal obstruction / perforation need resection of the offending area with primary or delayed anastomosis. Our preference is for exteriorization and delayed closure of stoma till the patient is on ATT. This is because most of our patients are immunocompromised, have malnutrition and there are limitations in getting them put on TPN/ parental nutrition. Though stoma causes morbidities but the mortality is almost negligible. Keywords: Abdonimal tuberculosis, Tuberculosis of abdomen, Management of abdominal TB, Clinical presentation of Abdominal Tuberculosis
"ABDOMINAL TUBERCULOSIS IN JAMMU DIVISION OF J &K", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.7, Issue 2, page no.117 - 122, February-2022, Available :https://ijsdr.org/papers/IJSDR2202019.pdf
Volume 7
Issue 2,
February-2022
Pages : 117 - 122
Paper Reg. ID: IJSDR_193920
Published Paper Id: IJSDR2202019
Downloads: 000347055
Research Area: Biological Science
Country: Srinagar, Jammu Kashmir, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
