Endoscopic diagnosis and clinical experience of colonic tuberculosis

From February 1979 to May 1994, 18 cases of colonic tuberculosis were detected by colonscopy at Chang Gung Momorial Hospital, Linkou Medical Center. There were 10 males and 8 females, with mean age of 43.6. In ten, the diagnosis was confirmed histologically or bacteriologically in colonic biopsy mat...

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Published inChanggeng yi xue za zhi Vol. 19; no. 4; p. 298
Main Authors Lin, C J, Wu, C S, Chen, P C, Kuo, Y C, Chang, K Y, Wu, S S, Tung, S Y
Format Journal Article
LanguageChinese
Published China (Republic : 1949- ) 01.12.1996
Subjects
Adolescent
Adult
Aged
Colonic Diseases - pathology
Colonic Diseases - therapy
Colonoscopy
Female
Humans
Male
Middle Aged
Prognosis
Tuberculosis, Gastrointestinal - pathology
Tuberculosis, Gastrointestinal - therapy
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Summary:From February 1979 to May 1994, 18 cases of colonic tuberculosis were detected by colonscopy at Chang Gung Momorial Hospital, Linkou Medical Center. There were 10 males and 8 females, with mean age of 43.6. In ten, the diagnosis was confirmed histologically or bacteriologically in colonic biopsy material and post-operated lymph nodes. The remaining 8 patients was suspected on colonoscopy, and had good response to antituberculous therapy. The major symptoms were abdominal pain (83%), diarrhea (67%), and body weight loss (61%). Average duration from symptoms to diagnosis was 4.1 months. Chest X-ray revealed active pulmonary tuberculosis in 14 of 18 patients (78%), 4 of 14 patients were military type. The colonic tuberculosis involved in ileocecal area in 6, ileocecum and contiguous colonic regions in 7, segmental colonic involvement in 4, and pancolitis in 1 patient. Multiple ulceration and ulcerohypertrophic lesions were the major colonoscopic findings. Typical caseating granuloma were found in 5 cases (36%) f