Recognizing and addressing the challenges of gastrointestinal tuberculosis  

作　　者：Emre Kudu Faruk Danış 

机构地区：[1]Emergency Medicine,Marmara University Pendik Training and Research Hospital,İstanbul 34899,TürkiyeEmergency Medicine,Marmara University Pendik Training and Research Hospital,İstanbul 34899,Türkiye [2]Emergency Medicine,Bolu Abantİzzet Baysal University Medical School,Bolu 14000,Türkiye

出　　处：《World Journal of Clinical Cases》2024年第19期3648-3653,共6页世界临床病例杂志

摘　　要：In this editorial,we comment on the article by Ali et al published in the recent issue of the World Journal of Clinical Cases.This case report shed light on a particularly rare manifestation of this disease-primary gastrointestinal tuberculosis(GTB)presenting as gastric outlet obstruction.GTB presents diagnostic challenges due to its nonspecific symptoms and lack of highly accurate diagnostic algorithms.This editorial synthesizes epidemiological data,risk factors,pathogenesis,clinical presentations,diagnostic methods,and therapies to raise awareness about GTB.GTB constitutes 1%-3%of all tuberculosis cases globally,with 6%-38%of patients also having pulmonary tuberculosis.Pathogenesis involves various modes of Mycobacterium tuberculosis complex entry into the gastrointestinal system,with the terminal ileum and ileocecal valve commonly affected.Clinical presentation varies,often resembling other intra-abdominal pathologies,necessitating a high index of suspicion.Diagnostic tools include a combination of biochemical,microbiological,radiological,and endoscopic assessments.Antitubercular medication remains the cornerstone of treatment,supplemented by surgical intervention in severe cases.Multidisciplinary management involving gastroenterologists,surgeons,pulmonologists,and infectious disease specialists is crucial for optimal outcomes.Despite advancements,timely diagnosis and management challenges persist,underscoring the need for continued research and collaboration in addressing primary GTB.

关 键 词：Gastrointestinal tuberculosis TUBERCULOSIS Infectious diseases Diagnostic challenge MYCOBACTERIUM 

分 类 号：R735[医药卫生—肿瘤]