In this series of 30 patients of intestinal tuberculosis, diagnosis was made by the typical appearance of caseous change of intestines and mesectery, pathological evidence of endoscopic biopsy or biopsy at operation. In 16 patients preoperative chest X-ray showed pulmonary TB lesion. X-ray gastrointestinal exmaination was performed in 24 patients and 20 patients underwent clonic endoscopy,both of them showed abnormal but nonspecific manifestation.Three patients underwent partial resection of small intestine, 20 patients right hemicolectomy, 3 patients subtotal colectomy, 1 patient abdominal resection of rectum, 2 patients partial resection of small bowel and right hemicolectomy and 1 patient partial resection of ileum and right hemicolon and part of rectum. It is believed that intestinal tuberculosis could manifest itself in segmental changes and bridge of mucosa, and should differented from Crohn’s disease. Resection and anastomosis after exploration and postoperative antituberculosis therapy is necssary.
Citation： Zhang Lianyang,Zhang Shengben,Huang Xiankai.. DIAGNOSIS AND TREATMENT OF INTESTINAL TUBERCULOSIS (REPORT OF 30 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1995, 2(4): 218-219. doi: Copy