Udgirkar Suhas, Surude Ravindra, Zanwar Vinay, Chandnani Sanjay, Contractor Qais, Rathi Pravin
Department of Gastroenterology, Topiwala National Medical College & B.Y.L Nair Charitable Hospital, Mumbai, India.
Clin Med Insights Gastroenterol. 2018 Jul 30;11:1179552218790566. doi: 10.1177/1179552218790566. eCollection 2018.
Gastroduodenal tuberculosis is infrequently seen in day-to-day clinical practice with few cases reported in the literature. It is usually associated with features of gastric outlet obstruction. This is a case series of 4 patients with 2 of them having associated lower gastrointestinal involvement. One of them resembled a growth in the cardia of the stomach which responded to antitubercular drugs. Another had duodenal erosions with portal lymph node enlargement which responded to antitubercular drug treatment. None of the patients required surgical management. Gastroduodenal tuberculosis should be considered with a high degree of suspicion when patients present with gastric outlet obstruction or with endoscopic evidence of ulceronodular disease in areas endemic for tuberculosis.
胃十二指肠结核在日常临床实践中较为少见，文献报道的病例较少。它通常与胃出口梗阻的特征相关。这是一组4例患者的病例系列，其中2例伴有下消化道受累。其中1例类似胃贲门部肿物，对抗结核药物治疗有反应。另一例有十二指肠糜烂伴门静脉淋巴结肿大，对抗结核药物治疗有反应。所有患者均无需手术治疗。当患者出现胃出口梗阻或在结核病流行地区有内镜下溃疡结节性病变证据时，应高度怀疑胃十二指肠结核。
