Ali W, Sikora S S, Banerjee D, Kapoor V K, Saraswat V A, Saxena R, Kaushik S P
Department of Surgical, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Aust N Z J Surg. 1993 Jun;63(6):466-7. doi: 10.1111/j.1445-2197.1993.tb00429.x.
Nine patients with gastroduodenal tuberculosis (GDTB) were seen over a period of 2 years at a tertiary level referral institute. Clinical presentation of GDTB is similar to that of peptic ulcer disease. Endoscopic biopsy and/or laparotomy and biopsy establish the diagnosis. Medical treatment is the mainstay of therapy, although surgical intervention may be required for the management of complications. Gastroduodenal tuberculosis should be suspected in patients, residing in areas where the disease is endemic, with a short history suggestive of peptic ulcer disease and an early onset of gastric outlet obstruction.
在一家三级转诊机构的两年时间里，共诊治了9例胃十二指肠结核（GDTB）患者。GDTB的临床表现与消化性溃疡疾病相似。内镜活检和/或剖腹手术及活检可确诊。药物治疗是主要的治疗方法，不过对于并发症的处理可能需要手术干预。对于居住在该病流行地区、有提示消化性溃疡疾病的短暂病史且早期出现胃出口梗阻的患者，应怀疑胃十二指肠结核。
