A Prospective Study of Intestinal obstruction due to Tuberculosis

Authors

  • Dr. Amit Kumar Gupta Assistant Professor, Department of General Surgery, Mata Gujri Memorial Medical College & Lion Seva Kendra, Kishanganj, Bihar, India.
  • Dr. Aditya Anand Assistant Professor, Department of General Surgery, Mata Gujri Memorial Medical College & Lion Seva Kendra, Kishanganj, Bihar, India.
  • Dr. Md Sarfaraz Nawaz Assistant Professor, Department of General Surgery, Mata Gujri Memorial Medical College & Lion Seva Kendra, Kishanganj, Bihar, India.
  • Dr. Md Mohtamim Haider Professor & HOD, Department of General Surgery, Mata Gujri Memorial Medical College & Lion Seva Kendra, Kishanganj, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v5i3.1136

Keywords:

Intestinal tuberculosis, Bowel obstruction, Clinicopathological profile

Abstract

Introduction

It has been shown that intestinal tuberculosis-related bowel obstruction is more common in underdeveloped nations. The purpose of this study was to identify the patients' reasons for receiving worse-than-ideal outcomes and describe the surgical treatment, clinicopathological characteristics, and prognosis of tuberculous intestinal obstruction in the community.

 

Methods

A prospective study was conducted over 15 months at MGMMC & LSK, Kishanganj, involving 123 patients who underwent surgery for tuberculous intestinal blockage. The necessary authorities granted ethical approval for the study. SPSS version 17.0 was used to analyze statistical data.

 

Results

The study included 123 patients with intestinal blockage caused by tuberculosis. The ratio of men to women was 1.8 to 1. The age distribution of the median was 11–67 years old. The most common age range was 21 to 30 years old. HIV-positive individuals had a median CD4+ count of 225 cells/μl, and 26.3% also had concomitant pulmonary tuberculosis. In 72.9% of cases, minor intestinal restrictions were the most prevalent surgical findings. The ileo-caecal region afflicted patients the most frequently (57.6%).

 

The most prevalent surgical procedure for 55.9% of the patients involved a right hemicolectomy plus an ileo-transverse anastomosis. All of the patients were given antituberculous medications for a year following surgery. In 42.8% of cases, surgical site infection (SSI) accounted for 37.3% of postoperative complications and was the most frequent occurrence. Low CD4+ count and HIV-positive status were the two strongest predictors of SSI (p<0.001).

 

Recommendation

When you come into contact with someone who has tuberculosis, we advise you to frequently check yourself, be informed of the risks, and take preventative measures.

 

Conclusion

Our environment still has a high prevalence of tuberculous intestinal obstruction, which greatly raises morbidity and mortality rates. When the illness gets more complicated, most patients don't show up until later.

Published

2024-03-31

How to Cite

Amit Kumar Gupta, Aditya Anand, Nawaz, S. ., & Haider, M. . (2024). A Prospective Study of Intestinal obstruction due to Tuberculosis. Student’s Journal of Health Research Africa, 5(3). https://doi.org/10.51168/sjhrafrica.v5i3.1136

Issue

Section

Section of Anesthesia and Surgery Research