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Clinical Features of Intestinal Tuberculosis in Recent Ten Years (2001-2010)
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Joo Yeon Cho, You Sun Kim, Won Wo Park, Tsung Pei Chuan, Hyun Tae Kim, Sang Ryul Lee, Jung Hwan Lee, Jeoung Soep Moon
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Intest Res 2011;9(1):12-18. Published online April 30, 2011
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DOI: https://doi.org/10.5217/ir.2011.9.1.12
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 Abstract
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- Background/Aims
Intestinal tuberculosis (ITB) evades early diagnosis due to non-specific clinical manifestations and difficulties in confirming the disease process. In the current study, we determined the diagnostic appearance and clinical manifestations of ITB in recent 10 years according to diagnostic guidelines, as proposed by the IBD Study Group of Korean Association for the Study of the Intestinal Diseases (KASID). Methods: Fifty-six patients with ITB who were diagnosed at Seoul Paik Hospital between January 2001 and August 2010 were retrospectively reviewed. The diagnosis of ITB was defined as definite or probable in accordance with the diagnostic guidelines and the clinical features were analyzed in comparison with previous studies involving ITB in Korea. Results: The mean age at the time of diagnosis was 45±15 years (range, 17-71 years). Definite and probable diagnoses were obtained in 29% and 71% of the patients, respectively. Twenty-three percent of the patients had synchronous active pulmonary TB and 14% of the patients had other forms of abdominal TB, such as TB mesenteric lymphadenitis or peritonitis. The most common symptoms were abdominal pain (43%), followed by diarrhea (30%), weight loss (14%). Twenty-seven percent of the patients (15 cases) were asymptomatic and diagnosed on comprehensive health care or post-operative surveillance. Only 2 patients (3.6%) underwent surgery for complications, such as intestinal obstruction and perforation. Conclusions: ITB is still prevalent in Korea; however, in the recent 10 years the symptoms of ITB have been milder than previously reported. In addition, the complication rates of ITB were remarkably decreased, suggesting that early diagnosis of ITB was increased. (Intest Res 2011;9: 0-18)
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Citations
Citations to this article as recorded by  - Differences in Clinical Manifestations according to the Positivity of Interferon-γ Assay in Patients with Intestinal Tuberculosis
Hye Jin Jung, Young-Ho Kim, You Sun Kim, Seong Yeon Jeong, Sung Won Park, Ji Yeon Seo, Hyemi Jung, Jong Pil Im, Ji Won Kim, Sung Noh Hong, Kuk Lae Lee
Gut and Liver.2016; 10(4): 649. CrossRef - Predictive Factors for Differentiating Between Crohn’s Disease and Intestinal Tuberculosis in Koreans
Yunho Jung, Young Hwangbo, Soon Man Yoon, Hoon Sup Koo, Hyun Deok Shin, Jeong Eun Shin, Hee Seok Moon, Sang Bum Kang, Jeong Rok Lee, Kyu Chan Huh
American Journal of Gastroenterology.2016; 111(8): 1156. CrossRef - Clinical Features of Tuberculous Versus Crohn’s Anal Fistulas, in Korea
Yong-Sung Choi, Do-Sun Kim, Jae-Bum Lee, Jong-Kyu Kim, Hyung-Joong Jung, Seong-Dae Lee, Kee-Ho Song, Doo-Han Lee, Mi-Jung Kim
Journal of Crohn's and Colitis.2015; 9(12): 1132. CrossRef - A Case of Intestinal Tuberculosis with Perianal Fistula Diagnosed after 30 Years
Ji Hyun Cheon, Won Moon, Seun Ja Park, Moo In Park, Sung Eun Kim, Youn Jung Choi, Jong Bin Kim, Hye Jung Kwon
The Korean Journal of Gastroenterology.2013; 62(6): 370. CrossRef - A Case of Tuberculous Enteritis with Active Pulmonary Tuberculosis in a 12-Year-Old Girl
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Korean Journal of Pediatric Infectious Diseases.2013; 20(3): 190. CrossRef - The Changes in Etiology and Clinical Features of Non-Traumatic Small Bowel Perforation
Byeong Gwan Kim, Ji Won Kim, Kook Lae Lee, Jae Kyung Lee, Ji Bong Jeong
Intestinal Research.2012; 10(2): 189. CrossRef
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