A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigm
Tuberculosis can involve any part of gastrointestinal tract. Gastro-duodenal involvement in tuberculosis is rare. We report four cases of gastric outlet obstruction due to tuberculosis. In all of these patients obstruction was due to extra-luminal compression from lymph-nodes. Clinical presentation...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2014-07-01
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| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.147499 |
| _version_ | 1818314773877489664 |
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| author | Rinkesh Kumar Bansal Piyush Ranjan Mandhir Kumar Munish Sachdeva Pooja Bakshi |
| author_facet | Rinkesh Kumar Bansal Piyush Ranjan Mandhir Kumar Munish Sachdeva Pooja Bakshi |
| author_sort | Rinkesh Kumar Bansal |
| collection | DOAJ |
| description | Tuberculosis can involve any part of gastrointestinal tract. Gastro-duodenal involvement in tuberculosis is rare. We report four cases of gastric outlet obstruction due to tuberculosis. In all of these patients obstruction was due to extra-luminal compression from lymph-nodes. Clinical presentation was with epigastric pain and recurrent vomiting. Upper GI endoscopy revealed duodenal stricture without any active ulcer or mass. Computed tomography scan showed duodenal thickening along with abdominal lymph nodes. Diagnosis was confirmed with EUS guided FNAC. Antral dilatation using CRE can be used as first treatment option for obstruction in these patients. Patients non responsive to dilatation may require surgery. |
| first_indexed | 2024-12-13T08:54:58Z |
| format | Article |
| id | doaj.art-8a0a2e0e82b54b6a960b2f561d3e44a0 |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-12-13T08:54:58Z |
| publishDate | 2014-07-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-8a0a2e0e82b54b6a960b2f561d3e44a02022-12-21T23:53:17ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502014-07-01050312112510.4103/0976-5042.147499A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigmRinkesh Kumar Bansal0Piyush Ranjan1Mandhir Kumar2Munish Sachdeva3Pooja Bakshi4Departments of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, IndiaDepartments of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, IndiaDepartments of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, IndiaDepartments of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, IndiaDepartment of Gastroenterology Cytopthology, Sir Ganga Ram Hospital, New Delhi, IndiaTuberculosis can involve any part of gastrointestinal tract. Gastro-duodenal involvement in tuberculosis is rare. We report four cases of gastric outlet obstruction due to tuberculosis. In all of these patients obstruction was due to extra-luminal compression from lymph-nodes. Clinical presentation was with epigastric pain and recurrent vomiting. Upper GI endoscopy revealed duodenal stricture without any active ulcer or mass. Computed tomography scan showed duodenal thickening along with abdominal lymph nodes. Diagnosis was confirmed with EUS guided FNAC. Antral dilatation using CRE can be used as first treatment option for obstruction in these patients. Patients non responsive to dilatation may require surgery.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.147499controlled radial expansion dilatation of benign gastric outlet obstructiongastric outlet obstructiongastro-duodenal tuberculosis |
| spellingShingle | Rinkesh Kumar Bansal Piyush Ranjan Mandhir Kumar Munish Sachdeva Pooja Bakshi A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigm Journal of Digestive Endoscopy controlled radial expansion dilatation of benign gastric outlet obstruction gastric outlet obstruction gastro-duodenal tuberculosis |
| title | A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigm |
| title_full | A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigm |
| title_fullStr | A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigm |
| title_full_unstemmed | A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigm |
| title_short | A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigm |
| title_sort | case series of gastric outlet obstruction secondary to tuberculosis new diagnostic and treatment paradigm |
| topic | controlled radial expansion dilatation of benign gastric outlet obstruction gastric outlet obstruction gastro-duodenal tuberculosis |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.147499 |
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