Endoscopic Diagnosis of Tuberculous Colitis K. Nagasako 1 1The Institute of Gastroenterology, Tokyo Women's Medical College pp.1623-1635
Published Date 1977/12/25
DOI https://doi.org/10.11477/mf.1403112434
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 Tuberculous colitis is still popular and important to be differentiated from Crohn's colitis. Twenty nine cases of tuberculous colitis were experienced in our hospital in the past eight years. All of them except one had some lesions at the ileocecal area. One case was confined to the rectum. Among 28 cases of ileocecal tuberculosis, twelve were active and sixteen were inactive or healed colitis. As shown in table 1, most of tuberculous colitis were confined to the ileocecal area. At the ileocecal area, the disease was rather diffuse. Six cases had ileocecal lesions. Four had ileocecal lesions plus colon stricture and two had multiple ulcerations throughout the colon. The character of the tuberculous ulcer was as follows: 1. circular 2. elevated margin with peculiar pattern 3. flat and granular. Healed colitis showed ulcer scar with converging multiple diverticula formation when the ulcers were multiple. Cases of progressive systemic sclerosis and ulcerative colitis were presented for the differentiation from healed tuberculous colitis. The aim of biopsy is only to obtain pathognomonic tuberculous granuloma. It is, however, difficult to get complete granuloma by biopsy because of me-chanical damage by biopsy procedure. Therefore only part of or incomplete granuloma could be obtained most cases.

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