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Intest Res > Volume 9(1); 2011 > Article
Intestinal Research 2011;9(1):12-18.
DOI: https://doi.org/10.5217/ir.2011.9.1.12    Published online April 30, 2011.
Clinical Features of Intestinal Tuberculosis in Recent Ten Years (2001-2010)
Joo Yeon Cho, You Sun Kim, Won Wo Park, Tsung Pei Chuan, Hyun Tae Kim, Sang Ryul Lee, Jung Hwan Lee, Jeoung Soep Moon
Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Health Promotion Center, Ajou Hospital, Ajou University College of Medicine, Suwon, Korea
최근 10년간 장결핵의 임상양상(2001-2010)
조주연, 김유선, 박원우, 총배천, 김현태, 이상렬, 이정환, 문정섭
인제대학교 의과대학 서울백병원 내과, 아주대학교 의과대학 아주대병원 건강증진센터
Abstract
Background/Aims
Intestinal tuberculosis (ITB) evades early diagnosis due to non-specific clinical manifestations and difficulties in confirming the disease process. In the current study, we determined the diagnostic appearance and clinical manifestations of ITB in recent 10 years according to diagnostic guidelines, as proposed by the IBD Study Group of Korean Association for the Study of the Intestinal Diseases (KASID). Methods: Fifty-six patients with ITB who were diagnosed at Seoul Paik Hospital between January 2001 and August 2010 were retrospectively reviewed. The diagnosis of ITB was defined as definite or probable in accordance with the diagnostic guidelines and the clinical features were analyzed in comparison with previous studies involving ITB in Korea. Results: The mean age at the time of diagnosis was 45±15 years (range, 17-71 years). Definite and probable diagnoses were obtained in 29% and 71% of the patients, respectively. Twenty-three percent of the patients had synchronous active pulmonary TB and 14% of the patients had other forms of abdominal TB, such as TB mesenteric lymphadenitis or peritonitis. The most common symptoms were abdominal pain (43%), followed by diarrhea (30%), weight loss (14%). Twenty-seven percent of the patients (15 cases) were asymptomatic and diagnosed on comprehensive health care or post-operative surveillance. Only 2 patients (3.6%) underwent surgery for complications, such as intestinal obstruction and perforation. Conclusions: ITB is still prevalent in Korea; however, in the recent 10 years the symptoms of ITB have been milder than previously reported. In addition, the complication rates of ITB were remarkably decreased, suggesting that early diagnosis of ITB was increased. (Intest Res 2011;9: 0-18)
Key Words: Gastrointestinal Tuberculosis, Symptoms, Early Diagnosis, Comprehensive Health Care
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