Radiological findings in duodenal tuberculosis: a 15-year experience

Verfasser / Beitragende:
[Birinder Nagi, Anupam Lal, Pankaj Gupta, Rakesh Kochhar, Saroj Sinha]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/5(2015-06-01), 1104-1109
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0302-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0302-y 
245 0 0 |a Radiological findings in duodenal tuberculosis: a 15-year experience  |h [Elektronische Daten]  |c [Birinder Nagi, Anupam Lal, Pankaj Gupta, Rakesh Kochhar, Saroj Sinha] 
520 3 |a Objective: To evaluate the radiological findings of duodenal tuberculosis with particular emphasis on the barium findings. Material and Methods: A retrospective analysis of 805 cases of gastrointestinal tuberculosis from January 1997 to December 2011 over a period of 15years was conducted. Thirty two cases (4%) of duodenal tuberculosis were found. The diagnosis of duodenal tuberculosis was based on histopathology following surgery or endoscopic biopsy from the duodenum, ultrasound-guided aspiration cytology/biopsy of lymph nodes or response to anti-tubercular treatment. The patients' clinical presentation was broadly classified into obstructive features and dyspeptic features. Single and/ or double contrast upper gastrointestinal barium studies were reviewed in each case for the segment involved, presence and length of strictures, ulcerations, polypoidal masses, extrinsic impression and complications (viz. perforations and fistulae). Results: The study included 20 males and 12 females with age range of 7-70years (mean age 26.6years) Twenty-seven (84.3%) patients presented with obstructive symptoms and five (15.6%) had predominantly dyspeptic symptoms. The radiological findings in patients with obstructive symptoms were duodenal strictures (n=19), extrinsic compression (n=10) and polypoidal intraluminal mass with luminal narrowing (n=3). Among the patients presenting with dyspeptic symptoms, the most common findings was duodenal ulcerations (n=3). Perforation was seen in 4 cases and fistulisation in 2 cases. A multiplicity of findings was noted in 7 patients. Conclusion: Barium studies though not specific for duodenal tuberculosis helped to delineate the mucosal lesions and define the nature, level, and extent of obstruction in these patients. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Barium studies  |2 nationallicence 
690 7 |a Duodenal tuberculosis  |2 nationallicence 
690 7 |a Gastrointestinal tuberculosis  |2 nationallicence 
690 7 |a Tuberculosis  |2 nationallicence 
700 1 |a Nagi  |D Birinder  |u Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
700 1 |a Lal  |D Anupam  |u Department of Radio-diagnosis, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
700 1 |a Gupta  |D Pankaj  |u Department of Radio-diagnosis, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
700 1 |a Kochhar  |D Rakesh  |u Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
700 1 |a Sinha  |D Saroj  |u Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/5(2015-06-01), 1104-1109  |x 0942-8925  |q 40:5<1104  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0302-y  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0302-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nagi  |D Birinder  |u Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lal  |D Anupam  |u Department of Radio-diagnosis, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gupta  |D Pankaj  |u Department of Radio-diagnosis, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kochhar  |D Rakesh  |u Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sinha  |D Saroj  |u Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/5(2015-06-01), 1104-1109  |x 0942-8925  |q 40:5<1104  |1 2015  |2 40  |o 261