caa a22 4500 605494932 CHVBK 20210128100528.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00261-014-0302-y doi (NATIONALLICENCE)springer-10.1007/s00261-014-0302-y Radiological findings in duodenal tuberculosis: a 15-year experience [Elektronische Daten] [Birinder Nagi, Anupam Lal, Pankaj Gupta, Rakesh Kochhar, Saroj Sinha] 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. Springer Science+Business Media New York, 2014 Barium studies nationallicence Duodenal tuberculosis nationallicence Gastrointestinal tuberculosis nationallicence Tuberculosis nationallicence Nagi Birinder Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut Lal Anupam Department of Radio-diagnosis, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut Gupta Pankaj Department of Radio-diagnosis, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut Kochhar Rakesh Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut Sinha Saroj Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/5(2015-06-01), 1104-1109 0942-8925 40:5<1104 2015 40 261 https://doi.org/10.1007/s00261-014-0302-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-014-0302-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nagi Birinder Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut NATIONALLICENCE 700 1- Lal Anupam Department of Radio-diagnosis, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut NATIONALLICENCE 700 1- Gupta Pankaj Department of Radio-diagnosis, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut NATIONALLICENCE 700 1- Kochhar Rakesh Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut NATIONALLICENCE 700 1- Sinha Saroj Department of Gastroenterology, Postgraduate Institute of Medical Education & Research, 160012, Chandigarh, India aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/5(2015-06-01), 1104-1109 0942-8925 40:5<1104 2015 40 261