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Therapeutic Approach to Intestinal Tuberculosis E. Yukawa 1 , M. Hayashi 1 , S. Miyamoto 1 , K. Yukawa 1 , H. Taniguchi 2 1Yukawa Gastroenterologieal Hospital 2Center for Adult Diseases pp.1655-1665
Published Date 1977/12/25
DOI https://doi.org/10.11477/mf.1403112437
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 Intestinal tuberculosis, although decreasing in its frequency since the advent of antituberculosis drugs, is still not so rare in Japan and is more frequent than Crohn's disease, simple ulcer of the colon or intestinal involvement of Behcet disease.

 The definite diagnosis of intestinal tuberculosis should be based on bacteriological and/or histological evidence. But practically without operation, it is very difficult to get the definite diagnosis even by endoscopic biopsy. From this point of view, it is valuable to try the therapeutic diagnosis, i.e., if symptoms, barium enema findings and endoscopic findings were improved by antituberculosis agents, the case should be diagnosed as intestinal tuberculosis. In our experience of 13 cases of colonic tuberculosis, it was very successful. But in four cases of tuberculosis of the small intestine, surgery was performed because of marked stenotic symptoms without any effect of antituberculous agents.

 The therapeutic diagnosis may be useful in differentiation from Crohn's disease and chronic ulcerative colitis, because it should be tuberculosis, when symptoms and other clinical findings were worsened with steroids and improved with anti-tuberculosis drugs.


Copyright © 1977, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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