Chapter 23 : Gastrointestinal Tuberculosis

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This chapter on gastrointestinal tuberculosis (TB) highlights that the colon and small bowel alone are the next most frequent sites of infection following the ileocecal region. The esophagus and stomach are rarely involved. Symptoms of gastrointestinal TB such as abdominal pain weight loss, fever nausea, vomiting, diarrhea and constipation are discussed in the chapter. The first primary case of esophageal TB was described in 1837 on an autopsy by Denonvilliers. The middle one-third of the esophagus is the most common location for tuberculous involvement. The diagnosis and various medical therapies for esophageal TB are discussed in the chapter. Surgery is usually required for gastric outlet obstruction, and the most common procedures described are gastrojejunostomy or antrectomy with Billroth II reconstruction. The importance in distinguishing ileal TB from Crohn’s disease is further highlighted because the treatment is vastly different. Colonic TB can involve any portion of the large bowel; however, the ileocecal region is the most common site of intestinal involvement, followed by the ascending colon. The diagnosis of intestinal TB should be considered in anyone with abdominal symptoms from an area where TB is endemic. PCR analyses of mucosal biopsy specimens from endoscopy have been shown to be a valuable tool in improving diagnostic yield with a high specificity of 95%. Radiographic imaging studies usually provide corollary information to prompt further investigation but rarely establish the diagnosis because of the nonspecific signs of intestinal TB.

Citation: Choi E, Coyle W. 2011. Gastrointestinal Tuberculosis, p 350-366. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817138.ch23

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Upper Gastrointestinal Tract
Gastrointestinal Bleeding
Lymphatic Disease
Crohn's Disease
Upper Gastrointestinal Bleeding
Enzyme-Linked Immunospot Assay
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Image of Figure 1.
Figure 1.

Endoscopic image of tuberculous involvement of the ileocecal valve and proximal colon. (Courtesy of Si Young Song, Kyung Joo Lee, and Moon Jae Chung.)

Citation: Choi E, Coyle W. 2011. Gastrointestinal Tuberculosis, p 350-366. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817138.ch23
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Image of Figure 2.
Figure 2.

Endoscopic image of a patulous ileocecal valve with a classic, fish mouth deformity and an ascending colon with mucosal erythema and nodularity secondary to TB. (Courtesy of Si Young Song, Kyung Joo Lee, and Moon Jae Chung.)

Citation: Choi E, Coyle W. 2011. Gastrointestinal Tuberculosis, p 350-366. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817138.ch23
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Image of Figure 3.
Figure 3.

Colonoscopic image of pseudopolyposis and stenosis from TB involvement of the transverse colon. (Courtesy of Si Young Song, Kyung Joo Lee, and Moon Jae Chung.)

Citation: Choi E, Coyle W. 2011. Gastrointestinal Tuberculosis, p 350-366. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817138.ch23
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Image of Figure 4.
Figure 4.

CT scan demonstrating segmental and circumferential wall thickening of the proximal colon due to TB involvement. (Courtesy of Si Young Song, Kyung Joo Lee, and Moon Jae Chung.)

Citation: Choi E, Coyle W. 2011. Gastrointestinal Tuberculosis, p 350-366. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817138.ch23
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1. Abdul-Ghaffar, N. U.,, T. T. Ramadan,, and A. A. Marafie. 1998. Abdominal tuberculosis in Ahmadi, Kuwait: a clinicopathological review. Trop. Doct. 28:137139.
2. Agrawal, S.,, S. V. Shetty,, and G. Bakshi. 1999. Primary hypertrophic tuberculosis of the pyloroduodenal area: report of 2 cases. J. Postgrad. Med. 45:1012.
3. Ahn, S. B.,, D. S. Han,, C. S. Eun,, S. Y. Bang,, Y. C. Lee,, K. N. Rim,, Y. G. Lee,, and T. Y. Kim. 2007. A case of acute appendicitis due to intestinal stricture after intestinal tuberculosis treatment. Korean J. Gastroenterol. 50:277279.
4. Akarsu, M.,, and H. Akpinar. 2007. Endoscopic balloon dilatation applied for the treatment of ileocecal valve stricture caused by tuberculosis. Dig. Liver Dis. 39:597598.
5. Akgun, Y. 2005. Intestinal and peritoneal tuberculosis: changing trends over 10 years and a review of 80 patients. Can. J. Surg. 48:131136.
6. Akinoğlu, A.,, and I. Bilgin. 1988. Tuberculous enteritis and peritonitis. Can. J. Surg. 31:5558.
7. Al-Bahrani, Z. R.,, and T. Al-Saleem. 1982. Intestinal tuberculosis in Iraq: a study of 50 cases. Int. Surg. 67(Suppl. 4):483485.
8. al Karawi, M. A.,, A. E. Mohamed,, M. I. Yasawy,, D. Y. Graham,, S. Shariq,, A. M. Ahmed,, A. al Jumah,, and Z. Ghandour. 1995. Protean manifestation of gastrointestinal tuberculosis: report on 130 patients. J. Clin. Gastroenterol. 20:225232.
9. Almadi, M. A.,, S. Ghosh,, and A. M. Aljebreen. 2009. Differentiating intestinal tuberculosis from Crohn’s disease: a diagnostic challenge. Am. J. Gastroenterol. 104:10031012.
10. Al Nakib, B.,, G. S. Jacob,, H. Al Liddawi,, and J. Commen. 1982. Choledochoduodenal fistula due to tuberculosis. Endos-copy 14:6465.
11. Alvares, J. F.,, H. Devarbhavi,, P. Makhija,, S. Rao,, and R. Kottoor. 2005. Clinical, colonoscopic, and histological profile of colonic tuberculosis in a tertiary hospital. Endoscopy 37:351356.
12. Amarapurkar, D. N.,, N. D. Patel,, and A. D. Amarapurkar. 2003. Primary gastric tuberculosis—report of 5 cases. BMC Gastroenterol. 3:6.
13. Amarapurkar, D. N.,, N. D. Patel,, A. D. Amarapurkar,, S. Agal,, R. Baigal,, and P. Gupte. 2004. Tissue polymerase chain reaction in diagnosis of intestinal tuberculosis and Crohn’s disease. J. Assoc. Physicians India 52:863867.
14. Anand, A. C.,, P. K. Patnaik,, V. P. Bhalla,, R. Chaudhary,, A. Saha,, and V. S. Rana. 2001. Massive lower intestinal bleeding—a decade of experience. Trop. Gastroenterol. 22:131134.
15. Anand, B. S.,, F. E. Schneider,, F. A. El-Zaatari,, R. M. Shawar,, J. E. Clarridge,, and D. Y. Graham. 1994. Diagnosis of intestinal tuberculosis by polymerase chain reaction on endoscopic biopsy specimens. Am. J. Gastroenterol. 89:22482249.
16. Anand, S. S.,, and I. C. Pathak. 1961. Surgical treatment of abdominal tuberculosis with special reference to ileocaecal tuberculosis. A record of one hundred cases treated surgically. J. Indian Med. Assoc. 37:423429.
17. Angamuthu, N.,, and S. A. Olakkengil. 2003. Coloduodenal fistula: an uncommon sequel of colonic tuberculosis. Indian J. Gastroenterol. 22:231232.
18. Annamalai, A.,, and S. Shreekumar. 1972. Tuberculosis of the esophagus. Am. J. Gastroenterol. 57:166168.
19. Ansari, N. A.,, A. H. Kombe,, T. A. Kenyon,, N. M. Hone,, J. W. Tappero,, S. T. Nyirenda,, N. J. Binkin,, and S. B. Lucas. 2002. Pathology and causes of death in a group of 128 predominantly HIV-positive patients in Botswana, 1997-1998. Int. J. Tuberc. Lung Dis. 6:5563.
20. API Consensus Expert Committee. 2006. API TB consensus guidelines 2006: management of pulmonary tuberculosis, extra-pulmonary tuberculosis and tuberculosis in special situations. J. Assoc. Physicians India 54:219234.
21. Audouin, J.,, and J. Poulain. 1950. Stenosing tuberculosis of the esophagus, apparently primary, cured by esophagectomy. Arch. Mal. Appar. Dig. Mal. Nutr. 39:231236.
22. Aydin, A.,, F. Tekin,, O. Ozutemiz,, and A. Musoglu. 2006. Value of endoscopic ultrasonography for diagnosis of esophageal tuberculosis: report of two cases. Dig. Dis. Sci. 51:16731676.
23. Badaoui, E.,, T. Berney,, L. Kaiser,, G. Mentha,, and P. Morel. 2000. Surgical presentation of abdominal tuberculosis: a protean disease. Hepatogastroenterology 47:751755.
24. Balamurugan, R.,, S. Venkataraman,, K. R. John,, and B. S. Ramakrishna. 2006. PCR amplification of the IS6110 insertion element of Mycobacterium tuberculosis in fecal samples from patients with intestinal tuberculosis. J. Clin. Microbiol. 44:18841886.
25. Bani-Hani, M. G.,, A. Al-Nowfal,, and S. Gould. 2009. High jejunal perforation complicating tuberculous abdominal cocoon: a rare presentation in immune-competent male patient. J. Gastrointest. Surg. 13:13731375.
26. Bargalló, N.,, C. Nicolau,, P. Luburich,, C. Ayuso,, C. Cardenal,, and F. Gimeno. 1992. Intestinal tuberculosis in AIDS. Gastrointest. Radiol. 17:115118.
27. Barreiros, A. P.,, B. Braden,, C. Schieferstein-Knauer,, A. Ignee, and, C. F. Dietrich. 2008. Characteristics of intestinal tuberculosis in ultrasonographic techniques. Scand. J. Gastroenterol. 43:12241231.
28. Bashi, S. A.,, M. B. Laajam,, I. A. Joharjy,, and A. K. Abdullah. 1985. Tuberculous oesophagopulmonary communication: effectiveness of antituberculous chemotherapy. A case report and review of literature. Digestion 32:145148.
29. Baylan, O.,, G. Kilciler,, A. Albay,, A. Tuzun,, O. Kisa,, and K. Dagalp. 2009. Polymerase chain reaction based diagnosis of primary gastric tuberculosis in an 80-year-old woman: a case report and review of the literature. New Microbiol. 32:217221.
30. Beppu, K.,, T. Osada,, K. Matsumoto,, T. Shibuya,, N. Sakamoto,, M. Kawabe,, A. Nagahara,, M. Otaka,, T. Ogihara,, and S. Watanabe. 2009. Gastrointestinal tuberculosis as a cause of massive bleeding. Med. Sci. Monit. 15:CS151CS154.
31. Bernhard, J. S.,, G. Bhatia,, and C. M. Knauer. 2000. Gastrointestinal tuberculosis: an eighteen-patient experience and review. J. Clin. Gastroenterol. 30:397402.
32. Bhansali, S. K. 1977. Abdominal tuberculosis. Experiences with 300 cases. Am. J. Gastroenterol. 67:324337.
33. Bhargava, B. N.,, F. S. Mehta,, and P. C. Gupta. 1982. Pyeloduodenal fistula secondary to renal tuberculosis. J. R. Coll. Surg. Edinb. 27:242243.
34. Bhargava, D. K.,, S. Dasarathy,, M. D. Shriniwas,, A. K. Kushwaha,, H. Duphare,, and B. M. Kapur. 1992. Evaluation of enzyme-linked immunosorbent assay using mycobacterial saline-extracted antigen for the serodiagnosis of abdominal tuberculosis. Am. J. Gastroenterol. 87:105108.
35. Bhargava, D. K.,, A. K. Kushwaha,, S. Dasarathy,, Shriniwas,, and P. Chopra. 1992. Endoscopic diagnosis of segmental colonic tuberculosis. Gastrointest. Endosc. 38:571574.
36. Bhasin, D. K.,, B. C. Sharma,, S. Dhavan,, A. Sethi,, S. K. Sinha,, and K. Singh. 1998. Endoscopic balloon dilation of ileal stricture due to tuberculosis. Endoscopy 30:S44.
37. Boudiaf, M.,, A. Jaff,, P. Soyer,, Y. Bouhnik,, L. Hamzi,, and R. Rymer. 2004. Small-bowel diseases: prospective evaluation of multi-detector row helical CT enteroclysis in 107 consecutive patients. Radiology 233:338344.
38. Brandt, M. M.,, P. N. Bogner,, and G. A. Franklin. 2002. Intestinal tuberculosis presenting as a bowel obstruction. Am. J. Surg. 183:290291.
39. Breiter, J. R.,, and J. J. Hajjar. 1981. Segmental tuberculosis of the colon diagnosed by colonoscopy. Am. J. Gastroenterol. 76:369373.
40. Brody, J. M.,, D. K. Miller,, R. K. Zeman,, R. S. Klappenbach,, M. H. Jaffe,, L. R. Clark,, S. B. Benjamin,, and P. L. Choyke. 1986. Gastric tuberculosis: a manifestation of acquired immunodeficiency syndrome. Radiology 159:347348.
41. Brullet, E.,, B. Font,, M. Rey,, A. Ferrer,, and A. Nogueras. 1993. Esophageal tuberculosis: early diagnosis by endoscopy. Endos-copy 25:485.
42. Burrill, J.,, C. J. Williams,, G. Bain,, G. Conder,, A. L. Hine,, and R. R. Misra. 2007. Tuberculosis: a radiologic review. Radio-graphics 27:12551273.
43. Cailhol, J.,, B. Decludt,, and D. Che. 2005. Sociodemographic factors that contribute to the development of extrapulmonary tuberculosis were identified. J. Clin. Epidemiol. 58:10661071.
44. Candela, F.,, P. Serrano,, J. M. Arriero,, A. Teruel,, D. Reyes,, and R. Calpena. 1999. Perianal disease of tuberculous origin: report of a case and review of the literature. Dis. Colon Rectum 42:110112.
45. Catinella, F. P.,, and C. F. Kittle. 1988. Tuberculous esophagitis with aortic aneurysm fistula. Ann. Thorac. Surg. 45:8788.
46. Chase, R. A.,, M. H. Haber,, J. C. Pottage, Jr.,, J. A. Schaffner,, C. Miller,, and S. Levin. 1986. Tuberculous esophagitis with erosion into aortic aneurysm. Arch. Pathol. Lab. Med. 110:965966.
47. Chaudhary, A.,, A. Bhan,, N. Malik,, J. B. Dilawari,, and S. K. Khanna. 1989. Choledocho-duodenal fistula due to tuberculosis. Indian J. Gastroenterol. 8:293294.
48. Chen, S. Y.,, C. X. Wang,, L. Z. Chen,, J. G. Fei,, S. X. Deng,, J. Qiu,, J. Li,, G. O. Chen,, H. M. Fu,, and C. M. Xie. 2008. Tuberculosis in southern Chinese renal-transplant recipients. Clin. Transplant. 22:780784.
49. Chen, W. S.,, S. Y. Leu,, H. Hsu,, J. K. Lin,, and T. C. Lin. 1992. Trend of large bowel tuberculosis and the relation with pulmonary tuberculosis. Dis. Colon Rectum 35:189192.
50. Chong, V. H.,, T. P. Joseph,, P. U. Telisinghe,, and A. Jalihal. 2007. Chronic inflammatory demyelinating polyneuropathy associated with intestinal tuberculosis. J. Microbiol. Immunol. Infect. 40:377380.
51. Clemente, W. T.,, L. C. Faria,, S. S. Lima,, E. G. Vilela,, A. S. Lima,, L. F. Velloso,, M. D. Sanches,, and O. L. Cançado. 2009. Tuberculosis in liver transplant recipients: a single Brazilian center experience. Transplantation 87:397401.
52. Cömert, F. B.,, M. Cömert,, C. Külah,, O. Taşscilar,, G. Numanoğlu,, and S. Aydemir. 2006. Colonic tuberculosis mimicking tumor perforation: a case report and review of the literature. Dig. Dis. Sci. 51:10391042.
53. Cooper, J.,, B. Flückiger,, B. Traichl,, P. A. Diener,, P. Otto,, and J. von Kempis. 2009. Abdominal pain in a patient with ankylosing spondylitis under treatment with infliximab. J. Clin. Rheumatol. 15:244246.
54. Corbett, E. L.,, C. J. Watt,, N. Walker,, D. Maher,, B. G. Williams,, M. C. Raviglione,, and C. Dye. 2003. The growing burden of tuberculosis: global trends and interactions with the HIV epidemic. Arch. Intern. Med. 163:10091021.
55. Croker, J.,, C. O. Record,, and J. T. Wright. 1978. Ileo-caecal tuberculosis in immigrants. Postgrad. Med. J. 54:410412.
56. Das, D. K.,, C. S. Pant,, B. Rath,, S. Parkash,, T. James,, and P. Sodhani. 1993. Fine-needle aspiration diagnosis of intra-thoracic and intra-abdominal lesions: review of experience in the pediatric age group. Diagn. Cytopathol. 9:383393.
57. Das, K.,, S. Puri,, and A. S. Puri. 2006. Gastrointestinal: multiple colonic strictures caused by tuberculosis. J. Gastroenterol. Hepatol. 21:476.
58. De Backer, A. I.,, K. J. Mortelé,, B. L. De Keulenaer,, L. Henckaerts,, and L. Verhaert. 2006. CT and MR imaging of gastrointestinal tuberculosis. JBR-BTR 89:190194.
59. de la Rua-Domenech, R. 2006. Human Mycobacterium bovis infection in the United Kingdom: incidence, risks, control measures and review of the zoonotic aspects of bovine tuberculosis. Tuberculosis (Edinburgh) 86:77109.
60. Demir, K.,, A. Okten,, S. Kaymakoglu,, D. Dincer,, F. Besisik,, U. Cevikbas,, S. Ozdil,, G. Bostas,, Z. Mungan,, and Y. Cakaloglu. 2001. Tuberculous peritonitis - reports of 26 cases, detailing diagnostic and therapeutic problems. Eur. J. Gastroenterol. Hepatol. 13:581585.
61. Devarbhavi, H. C.,, J. F. Alvares,, and M. Radhikadevi. 2003. Esophageal tuberculosis associated with esophagotracheal or esophagomediastinal fistula: report of 10 cases. Gastrointest. Endosc. 57:588592.
62. Donoghue, H. D.,, and J. Holton. 2009. Intestinal tuberculosis. Curr. Opin. Infect. Dis. 22:490496.
63. Dutt, A. K.,, D. Moers,, and W. W. Stead. 1986. Short-course chemotherapy for pleural tuberculosis. Nine years’ experience in routine treatment service. Chest 90:112116.
64. Eggleston, F. C.,, M. C. Deodhar,, and A. Kumar. 1983. Tuberculous perforation of the bowel - results in 21 cases. Trop. Gastroenterol. 4:164167.
65. Enarson, D. A.,, M. J. Ashley,, S. Grzybowski,, E. Ostapkowicz,, and E. Dorken. 1980. Non-respiratory tuberculosis in Canada. Epidemiologic and bacteriologic features. Am. J. Epidemiol. 112:341351.
66. Eng, J.,, and S. Sabanathan. 1991. Tuberculosis of the esophagus. Dig. Dis. Sci. 36:536540.
67. Ergun, M.,, M. Cindoruk,, H. Alagozlu,, S. Unal,, T. Karakan,, and A. Dursun. 2008. Hypertrophic colonic tuberculosis mimicking tumourous mass. Colorectal Dis. 10:735736.
68. Eroğlu, A.,, C. Kürkçüoğlu,, N. Karaoğlanoğlu,, O. Yilmaz,, and N. Gürsan. 2002. Esophageal tuberculosis abscess: an unusual cause of dysphagia. Dis. Esophagus 15:9395.
69. Fetene, T.,, N. Kebede,, and G. Alem. 13 November 2009. Tuberculosis infection in animal and human populations in three districts of western Gojam, Ethiopia. Zoonoses Public Health. doi:10.1111/j.1863-2378.2009.01265.x. [Epub ahead of print.]
70. Findlay, J. M.,, N. V. Addison,, D. K. Stevenson,, and Z. A. Mirza. 1979. Tuberculosis of the gastrointestinal tract in Bradford, 1967-77. J. R. Soc. Med. 72:587590.
71. Fräki, O.,, and P. Peltokallio. 1975. Intestinal and peritoneal tuberculosis: report of two cases. Dis. Colon Rectum. 18:685693.
72. Friedenberg, K. A.,, J. O. Draguesku,, M. Kiyabu,, and J. E. Valenzuela. 1993. Intestinal perforation due to Mycobacterium tuberculosis in HIV-infected individuals: report of two cases. Am. J. Gastroenterol. 88:604607.
73. Gan, H. T.,, Y. Q. Chen,, Q. Ouyang,, H. Bu,, and X. Y. Yang. 2002. Differentiation between intestinal tuberculosis and Crohn’s disease in endoscopic biopsy specimens by polymerase chain reaction. Am. J. Gastroenterol. 97:14461451.
74. García-Díaz, R. A.,, J. L. Ruiz-Gómez,, J. C. Rodríguez-Sanjuan,, D. García-Palomo,, and M. Gómez-Fleitas. 2006. Perforation of the colon caused by intestinal tuberculosis. Dis. Colon Rectum. 49:927.
75. Geo, S. K.,, R. Harikumar,, T. Varghese,, P. Rajan,, and K. P. Aravindan. 2005. Isolated tuberculosis of gastric cardia presenting as perforation peritonitis. Indian J. Gastroenterol. 24:227228.
76. Gilinsky, N. H.,, I. N. Marks,, R. E. Kottler,, and S. K. Price. 1983. Abdominal tuberculosis. A 10-year review. S. Afr. Med. J. 64:849857
77. Gilinsky, N. H.,, M. D. Voigt,, D. H. Bass,, and I. N. Marks. 1986. Tuberculous perforation of the bowel. A report of 8 cases. S. Afr. Med. J. 70:4446.
78. Gonzalez, O. Y.,, G. Adams,, L. D. Teeter,, T. T. Bui,, J. M. Musser,, and E. A. Graviss. 2003. Extra-pulmonary manifestations in a large metropolitan area with a low incidence of tuberculosis. Int. J. Tuberc. Lung Dis. 7:11781185.
79. Gordon, A. H.,, and J. B. Marshall. 1990. Esophageal tuberculosis: definitive diagnosis by endoscopy. Am. J. Gastroenterol. 85:174177.
80. Grauhan, O.,, R. Lohmann,, P. Lemmens,, N. Schattenfroh,, S. Jonas,, H. Keck,, R. Raakow,, J. Langrehr,, W. Bechstein,, and G. Blumhardt. 1995. Mycobacterial infection after liver transplantation. Langenbecks Arch. Chir. 380:171175.
81. Gupta, B.,, S. Mathew,, and S. Bhalla. 1990. Pyloric obstruction due to gastric tuberculosis—an endoscopic diagnosis. Post-grad. Med. J. 66:6365.
82. Horvath, K. D.,, R. L. Whelan,, S. Weinstein,, A. L. Basner,, S. M. Staugaitis,, and E. Greenebaum. 1995. Isolated sigmoid tuberculosis. Report of a case. Dis. Colon Rectum. 38:13271330.
83. Huang, S. P.,, Y. J. Zhao,, S. H. Lu,, J. L. Cheng,, and Y. L. Feng. 2009. Pulmonary miliary tuberculosis and intestinal tuberculosis co-infected with AIDS. J. Dig. Dis. 10:225227.
84. Hussain, T.,, A. Salamat,, M. A. Farooq,, F. Hassan,, and M. Hafeez. 2009. Indications for endoscopic ultrasound and diagnosis on fine-needle aspiration and cytology. J. Coll. Physicians Surg. Pak. 19:223227.
85. Ichikawa, T.,, H. Takagi,, and M. Mori. 2009. Abdominal tuberculosis in the absence of pulmonary involvement shown by 2-[fluorine 18] fluoro-2-deoxy-D-glucose positron emission tomography. Clin. Gastroenterol. Hepatol. 7:A20.
86. Iwamoto, I.,, Y. Tomita,, M. Takasaki,, K. Mine,, Y. Koga,, K. Nabeshima,, and Y. Takechi. 1995. Esophagoaortic fistula caused by esophageal tuberculosis: report of a case. Surg. Today 25:381384.
87. Jain, S.,, N. Kumar,, D. K. Das,, and S. K. Jain. 1999. Esophageal tuberculosis. Endoscopic cytology as a diagnostic tool. Acta Cytol. 43:10851090.
88. Jain, S. K.,, S. Jain,, M. Jain,, and A. Yaduvanshi. 2002. Esophageal tuberculosis: is it so rare? Report of 12 cases and review of the literature. Am. J. Gastroenterol. 97:287291.
89. Javid, G.,, G. M. Gulzar,, B. Khan,, A. Shah,, and M. A. Khan. 1999. Percutaneous sonography-guided fine needle aspiration biopsy of colonoscopic biopsy-negative colonic lesions. Indian J. Gastroenterol. 18:146148.
90. Joshi, M. A.,, D. Balsarkar,, A. Abhyankar,, D. G. Pereira,, N. Avasare,, C. Pradhan,, P. Subramanyan,, T. T. Changlani,, H. L. Deshmukh,, R. G. Shirahatti,, and B. Biswas. 1998. Massive rectal bleeding due to jejunal and colonic tuberculosis. Trop. Gastroenterol. 19:168170.
91. Kahn, S. A.,, and B. S. Kirschner. 2006. Massive intestinal bleeding in a child with superior mesenteric artery aneurysm and gastrointestinal tuberculosis. J. Pediatr. Gastroenterol. Nutr. 43:256259.
92. Kamani, L.,, A. Ahmed,, M. Shah,, S. Hasan,, and W. Jafri. 2007. Rectal tuberculosis: the great mimic. Endoscopy 39(Suppl. 1):E227E228.
93. Kandutsch, S.,, A. Feix,, M. Haas,, M. Häfner,, G. Sunder-Plassmann,, and A. Soleiman. 2004. A rare cause of anemia due to intestinal tuberculosis in a renal transplant recipient. Clin. Nephrol. 62:158161.
94. Kang, M. J.,, and S. Y. Yi. 2008. Esophageal tuberculosis presenting as a submucosal tumor. Clin. Gastroenterol. Hepatol. 6:A26.
95. Karagiannis, S.,, D. Papaioannou,, S. Goulas,, D. Psilopoulos,, and C. Mavrogiannis. 2008. Intestinal tuberculosis in a patient on infliximab treatment. Gastrointest. Endosc. 67:11781179.
96. Kasulke, R. J.,, W. J. Anderson,, S. K. Gupta,, and M. L. Gliedman. 1981. Primary tuberculous enterocolitis. Report of three cases and review of the literature. Arch. Surg. 116:110113.
97. Katagiri, Y.,, S. Hachinohe,, and K. Nakajima. 2006. A case of lung tuberculosis which also incidentally found intestinal tuberculosis by 18F-fluorodeoxyglucose-positron emission tomography. Nippon Shokakibyo Gakkai Zasshi 103:420425.
98. Kaushik, R.,, R. Sharma,, and A. K. Attri. 2003. Coexisting tuberculosis and carcinoma of the colon: a report of two cases and a review of the literature. Trop. Gastroenterol. 24:137139.
99. Reference deleted.
100. Khan, F. Y.,, A. AlAni,, A. Al-Rikabi,, A. Mizrakhshi,, M. ElMudathir Osman. 2008. Primary gastric fundus tuberculosis in immunocompetent patient: a case report and literature review. Braz. J. Infect. Dis. 12:453455.
101. Kim, S. E.,, K. N. Shim,, S. J. Yoon,, S. A. Jung,, T. H. Kim,, K. Yoo,, and H. Moon. 2006. A case of gastric tuberculosis mimicking advanced gastric cancer. Korean J. Intern. Med. 21:6267.
102. Kim, T. H.,, J. K. Kim,, and J. H. Lee. 2009. Education and imaging. Gastrointestinal: CT colonography in ileocecal tuberculosis. J. Gastroenterol. Hepatol. 24:699.
103. Kim, Y. S.,, Y. H. Kim,, K. M. Lee,, J. S. Kim,, Y. S. Park, and IBD Study Group of the Korean Association of the Study of Intestinal Diseases. 2009. Diagnostic guideline of intestinal tuberculosis. Korean J. Gastroenterol. 53:177186.
104. Kirsch, R.,, M. Pentecost,, P. D. M. Hall,, D. P. Epstein,, G. Watermeyer,, and P. W. Friederich. 2006. Role of colonoscopic biopsy in distinguishing between Crohn’s disease and intestinal tuberculosis. J. Clin. Pathol. 59:840844
105. Klimach, O. E.,, and L. P. Ormerod. 1985. Gastrointestinal tuberculosis: a retrospective review of 109 cases in a district general hospital. Q. J. Med. 56:569578.
106. Kodaira, Y.,, T. Shibuya,, K. Matsumoto,, K. Uchiyama,, T. Tenjin,, N. Yamada,, and S. Tanaka. 1997. Primary aortoduodenal fistula caused by duodenal tuberculosis without an abdominal aortic aneurysm: report of a case. Surg. Today 27:745748.
107. Koh, D. M.,, P. R. Burn,, G. Mathews,, M. Nelson,, and J. C. Healy. 2003. Abdominal computed tomographic findings of Mycobacterium tuberculosis and Mycobacterium avium intracellulare infection in HIV seropositive patients. Can. Assoc. Radiol. J. 54:4550.
108. Kuntanapreeda, K. 2008. Tuberculous appendicitis presenting with lower gastrointestinal hemorrhage—a case report and review of the literature. J. Med. Assoc. Thai. 91:937942.
109. Lai, C. C.,, T. C. Lee,, C. H. Hsiao,, C. H. Liao,, C. H. Chou,, C. K. Tan,, H. P. Wang,, and P. R. Hsueh. 2009. Differential diagnosis of Crohn’s disease and intestinal tuberculous by enzyme-linked immunospot assay for interferon-gamma. Am. J. Gastroenterol. 104:21212122.
110. Lanjewar, D. N.,, B. S. Anand,, R. Genta,, M. B. Maheshwari,, M. A. Ansari,, S. K. Hira,, and H. L. DuPont. 1996. Major differences in the spectrum of gastrointestinal infections associated with AIDS in India versus the west: an autopsy study. Clin. Infect. Dis. 23:482485.
111. Leder, R. A.,, and V. H. Low. 1995. Tuberculosis of the abdomen. Radiol. Clin. North Am. 33:691705.
112. Lee, J. H.,, D. H. Shin,, K. W. Kang,, S. S. Park,, and D. H. Lee. 1992. The medical treatment of a tuberculous tracheooesophageal fistula. Tuber. Lung Dis. 73:177179.
113. Lee, Y. J.,, S. K. Yang,, S. J. Myung,, J. S. Byeon,, I. G. Park,, J. S. Kim,, G. H. Lee,, H. Y. Jung,, W. S. Hong,, J. H. Kim,, and Y. I. Min. 2004. The usefulness of colonoscopic biopsy in the diagnosis of intestinal tuberculosis and pattern of concomitant extra-intestinal tuberculosis. Korean J. Gastroenterol. 44:153159.
114. Leung, V. K.,, W. H. Chan,, T. L. Chow,, I. S. Luk,, T. N. Chau,, and T. K. Loke. 2006. Oesophageal tuberculosis mimicking oesophageal carcinoma. Hong Kong Med. J. 12:473476.
115. Leung, V. K.,, S. T. Law,, C. W. Lam,, I. S. Luk,, T. N. Chau,, T. K. Loke,, W. H. Chan,, and S. H. Lam. 2006. Intestinal tuberculosis in a regional hospital in Hong Kong: a 10-year experience. Hong Kong Med. J. 12:264271.
116. Lin, O. S.,, S. S. Wu,, K. T. Yeh,, and M. S. Soon. 1999. Isolated gastric tuberculosis of the cardia. J. Gastroenterol. Hepatol. 14:258261.
117. Lingenfelser, T.,, J. Zak,, I. N. Marks,, E. Steyn,, J. Halkett,, and S. K. Price. 1993. Abdominal tuberculosis: still a potentially lethal disease. Am. J. Gastroenterol. 88:744750.
118. Lu, W.,, C. T. Wai,, M. Da Costa,, P. A. Tambyah,, K. Prabhakaran,, and K. H. Lee. 2005. Tuberculosis post-liver transplantation: a rare but complicated disease. Ann. Acad. Med. Singapore 34:213215.
119. Lucas, S. B.,, A. Hounnou,, C. Peacock,, A. Beaumel,, G. Djomand,, J. M. N’Gbichi,, K. Yeboue,, M. Hondé,, M. Diomande,, C. Giordano, et al. 1993. The mortality and pathology of HIV infection in a west African city. AIDS 7:15691579.
120. Machado, N.,, C. S. Grant,, and E. Scrimgeour. 2001. Abdominal tuberculosis—experience of a University hospital in Oman. Acta Trop. 80:187190.
121. Makanjuola, D. 1998. Is it Crohn’s disease or intestinal tuberculosis? CT analysis. Eur. J. Radiol. 28:5561.
122. Makanjuola, D.,, I. al Orainy,, R. al Rashid,, and K. Murshid. 2004. Radiological evaluation of colonic strictures: impact of dilation on diagnosis. Endoscopy 36:10991103.
123. Makharia, G. K.,, S. Srivastava,, P. Das,, P. Goswami,, U. Singh,, M. Tripathi,, V. Deo,, A. Aggarwal,, R. P. Tiwari,, V. Sreenivas,, and S. D. Gupta. 2010. Clinical, endoscopic, and histological differentiations between Crohn’s disease and intestinal tuberculosis. Am. J. Gastroenterol. 105:642651.
124. Mandal, B. K.,, and P. F. Schofield. 1977. Abdominal tuberculosis in Britain. Br. Med. J. 2:319.
125. Marshall, J. B. 1993. Tuberculosis of the gastrointestinal tract and peritoneum. Am. J. Gastroenterol. 88:989999.
126. Mathew, S. 2008. Anal tuberculosis: report of a case and review of literature. Int. J. Surg. 6:e36e39.
127. McGee, G. S.,, L. F. Williams,, J. Potts,, S. Barnwell,, and J. L. Sawyers. 1989. Gastrointestinal tuberculosis: resurgence of an old pathogen. Am. Surg. 55:1620.
128. Misra, S. P.,, V. Misra,, M. Dwivedi,, and S. C. Gupta. 1999. Colonic tuberculosis: clinical features, endoscopic appearance and management. J. Gastroenterol. Hepatol. 14:723729.
129. Misra, S. P.,, V. Misra,, M. Dwivedi,, and M. Singh. 1998. Fine-needle aspiration biopsy of colonic masses. Diagn. Cytopathol. 19:330332.
130. Miyamoto, S.,, J. Furuse,, Y. Maru,, H. Tajiri,, M. Muto,, M. Yoshino. 2001. Duodenal tuberculosis with a choledochoduodenal fistula. J. Gastroenterol. Hepatol. 16:235238.
131. Mokoena, T.,, D. M. Shama,, H. Ngakane,, and J. V. Bryer. 1992. Oesophageal tuberculosis: a review of eleven cases. Postgrad. Med. J. 68:110115.
132. Monkemuller, K. E.,, and J. B. Lewis, Jr. 1996. Massive rectal bleeding from colonic tuberculosis. Am. J. Gastroenterol. 91:14391441.
133. Moore, A. R.,, F. M. Rogers,, D. Dietrick,, and S. Smith. 2008. Extrapulmonary tuberculosis in pregnancy masquerading as a degenerating leiomyoma. Obstet. Gynecol. 111:550552.
134. Muneef, M. A.,, Z. Memish,, S. A. Mahmoud,, S. A. Sadoon,, R. Bannatyne,, and Y. Khan. 2001. Tuberculosis in the belly: a review of forty-six cases involving the gastrointestinal tract and peritoneum. Scand. J. Gastroenterol. 36:528532.
135. Musellim, B.,, S. Erturan,, E. Sonmez Duman,, and G. Ongen. 2005. Comparison of extra-pulmonary and pulmonary tuberculosis cases: factors influencing the site of reactivation. Int. J. Tuberc. Lung Dis. 9:12201223.
136. Naga, M. I.,, H. H. Okasha,, Z. Ismail,, M. El-Fatatry,, S. Hassan,, and B. E. Monir. 2001. Endoscopic diagnosis of colonic tuberculosis. Gastrointest. Endosc. 53:789793.
137. Nagi, B.,, A. Lal,, R. Kochhar,, D. K. Bhasin,, M. Gulati,, S. Suri,, and K. Singh. 2003. Imaging of esophageal tuberculosis: a review of 23 cases. Acta Radiol. 44:329333.
138. Nagi, B.,, A. Lal,, R. Kochhar,, D. K. Bhasin,, B. R. Thapa,, and K. Singh. 2002. Perforations and fistulae in gastrointestinal tuberculosis. Acta Radiol. 43:501506.
139. Nagi, B.,, K. S. Sodhi,, R. Kochhar,, D. K. Bhasin,, and K. Singh. 2004. Small bowel tuberculosis: enteroclysis findings. Abdom. Imaging 29:335340.
140. Nair, K. V.,, C. G. Pai,, K. P. Rajagopal,, V. N. Bhat,, and M. Thomas. 1991. Unusual presentations of duodenal tuberculosis. Am. J. Gastroenterol. 86:756760.
141. Nakamura, S.,, K. Yanagihara,, K. Izumikawa,, M. Seki,, H. Kakeya,, Y. Yamamoto,, Y. Miyazaki,, N. Suyama,, and S. Kohno. 2008. Severe pulmonary tuberculosis complicating ileocecal intussusception due to intestinal tuberculosis: a case report. Ann. Clin. Microbiol. Antimicrob. 7:16.
142. Nakano, H.,, E. Jaramillo,, M. Watanabe,, I. Miyachi,, K. Takahama,, and M. Itoh. 1992. Intestinal tuberculosis: findings on double-contrast barium enema. Gastrointest. Radiol. 17:108114.
143. Namisaki, T.,, H. Yoshiji,, M. Fujimoto,, H. Kojima,, K. Yanase,, M. Kitade,, Y. Ikenaka,, M. Toyohara,, J. Yamao,, T. Tsujimoto,, T. Tsuruzono,, H. Kitano,, K. Matsumura,, Y. Matsumura,, and H. Fukui. 2004. Two cases of colonic tuberculosis presenting with massive melena. Int. J. Clin. Pract. 58:11621164.
144. Narayani, R. I.,, and C. Brady III. 2002. GI bleeding from ileocecal Mycobacterium tuberculosis. Gastrointest. Endosc. 55:83.
145. Netherland, N. A.,, and S. Peter. 2009. Education and imaging. Gastrointestinal: positron emission tomography (PET) in intestinal tuberculosis: masquerading hot spots. J. Gastroenterol. Hepatol. 24:17981799.
146. Newman, R. M.,, P. R. Fleshner,, F. E. Lajam,, and U. Kim. 1991. Esophageal tuberculosis: a rare presentation with hematemesis. Am. J. Gastroenterol. 86:751755.
147. Okoro, E. O.,, and O. F. Komolafe. 1999. Gastric tuberculosis: unusual presentations in two patients. Clin. Radiol. 54:257259.
148. Ozbülbül, N. I.,, M. Ozdemir,, and N. Turhan. 2008. CT findings in fatal primary intestinal tuberculosis in a liver transplant recipient. Diagn. Interv. Radiol. 14:221224.
149. Palmer, E. D. 1950. Tuberculosis of the stomach and the stomach in tuberculosis; a review with particular reference to gross pathology and gastroscopic diagnosis. Am. Rev. Tuberc. 61:116130.
150. Palmer, K. R.,, D. H. Patil,, G. S. Basran,, J. F. Riordan,, and D. B. Silk. 1985. Abdominal tuberculosis in urban Britain—a common disease. Gut 26:12961305.
151. Park, J. K.,, S. H. Lee,, S. G. Kim,, H. Y. Kim,, J. H. Lee,, J. H. Shim,, J. S. Kim,, H. C. Jung,, and I. S. Song. 2005. A case of intestinal tuberculosis presenting massive hematochezia controlled by endoscopic coagulation therapy. Korean J. Gastroenterol. 45:6063.
152. Park, S. H.,, S. K. Yang,, D. H. Yang,, K. J. Kim,, S. M. Yoon,, J. W. Choe,, B. D. Ye,, J. S. Byeon,, S. J. Myung,, and J. H. Kim. 2009. Prospective randomized trial of six-month versus nine-month therapy for intestinal tuberculosis. Antimicrob. Agents Chemother. 53:41674171.
153. Park, Y. S.,, J. Y. Choi,, C. H. Cho,, K. H. Chang,, Y. G. Song,, Y. S. Kim,, and J. M. Kim. 2004. Clinical outcomes of tuberculosis in renal transplant recipients. Yonsei Med. J. 45:865872.
154. Park, Y. S.,, D. W. Jun,, S. H. Kim,, H. H. Lee,, Y. J. Jo,, M. H. Song,, N. I. Kim,, and J. S. Lee. 2008. Colonoscopy evaluation after short-term anti-tuberculosis treatment in nonspecific ulcers on the ileocecal area. World J. Gastroenterol. 14:50515058.
155. Parthasarathy, R.,, K. Sriram,, T. Santha,, R. Prabhakar,, P. R. Somasundaram,, and S. Sivasubramanian. 1999. Short-course chemotherapy for tuberculosis of the spine. A comparison between ambulant treatment and radical surgery—ten-year report. J. Bone Joint Surg. Br. 81:464471.
156. Patel, N.,, D. Amarapurkar,, S. Agal,, R. Baijal,, P. Kulshrestha,, S. Pramanik,, and P. Gupte. 2004. Gastrointestinal luminal tuberculosis: establishing the diagnosis. J. Gastroenterol. Hepatol. 19:12401246.
157. Peixoto, P. C.,, P. S. Ministro,, A. D. Sadio,, E. M. Cancela,, R. N. Araújo,, J. L. Machado,, A. H. Castanheira,, A. T. Silva,, R. D. Nunes,, M. T. Carvalho,, and A. F. Caldas. 2009. Esophageal tuberculosis: an unusual cause of dysphagia. Gastrointest. Endosc. 69:11731176.
158. Petrosyan, M.,, and R. J. Mason. 2006. Tuberculous enteritis presenting as small-bowel obstruction. Clin. Gastroenterol. Hepatol. 4:xxiii.
159. Pettengell, K. E.,, C. Larsen,, M. Garb,, F. G. Mayet,, A. E. Simjee,, and D. Pirie. 1990. Gastrointestinal tuberculosis in patients with pulmonary tuberculosis. Q. J. Med. 74:303308.
160. Porter, J. M.,, R. J. Snowe,, and D. Silver. 1972. Tuberculous enteritis with perforation and abscess formation in childhood. Surgery 71:254257.
161. Porter, K. A.,, J. Henson,, and F. K. Chong. 1990. Perforated gastrointestinal tuberculosis. Dig. Dis. Sci. 35:10461048.
162. Rabkin, D. G.,, J. M. Caiati,, J. A. Allendorf,, and M. Treat. 2003. Intractable hematochezia: an unusual presentation of intestinal tuberculosis. Surgery 133:592593.
163. Ramakantan, R.,, and P. Shah. 1990. Tuberculous fistulas of the pharynx and esophagus. Gastrointest. Radiol. 15:145147.
164. Ramesh, J.,, G. S. Banait,, and L. P. Ormerod. 2008. Abdominal tuberculosis in a district general hospital: a retrospective review of 86 cases. QJM 101:189195.
165. Rämö, O. J.,, J. A. Salo,, J. Isolauri,, M. Luostarinen,, and S. P. Mattila. 1996. Tuberculous fistula of the esophagus. Ann. Thorac. Surg. 62:10301032.
166. Rana, F. S.,, M. P. Hawken,, C. Mwachari,, S. M. Bhatt,, F. Abdullah,, L. W. Ng’ang’a,, C. Power,, W. A. Githui,, J. D. Porter,, and S. B. Lucas. 2000. Autopsy study of HIV-1-positive and HIV-1-negative adult medical patients in Nairobi, Kenya. J. Acquir. Immune Defic. Syndr. 24:2329.
167. Rao, Y. G.,, G. K. Pande,, P. Sahni,, and T. K. Chattopadhyay. 2004. Gastroduodenal tuberculosis management guidelines, based on a large experience and a review of the literature. Can. J. Surg. 47:364368.
168. Rasheed, S.,, R. Zinicola,, D. Watson,, A. Bajwa,, and P. J. McDonald. 2007. Intra-abdominal and gastrointestinal tuberculosis. Colorectal Dis. 9:773783.
169. Ray, G.,, P. K. Banerjee,, U. C. Ghoshal,, K. Dhar,, B. B. Pal,, A. D. Biswas,, U. Das,, M. L. Saha,, A. N. Acharya,, and S. Majumdar. 2001. Etiology and management of obscure gastrointestinal bleed—an appraisal from eastern India. Indian J. Gastroenterol. 20:9093.
170. Rosario, M. T.,, C. L. Raso,, and G. M. Comer. 1989. Esophageal tuberculosis. Dig. Dis. Sci. 34:12811284.
171. Rosario, P.,, J. Song,, W. Wittenborn,, and F. Christian. 1996. Tracheoesophageal fistula in AIDS: stent versus primary repair. AIDS Patient Care STDS 10:334335.
172. Rövekamp, B. T.,, K. van der Linde,, J. Dees,, S. E. Overbeek,, M. van Blankenstein,, and E. J. Kuipers. 2005. A solitary tuberculous ulcer in the oesophagus. Eur. J. Gastroenterol. Hepatol. 17:435439.
173. Salpeter, S. R.,, R. M. Shapiro,, and J. D. Gasman. 1991. Gastric tuberculosis presenting as fever of unknown origin. West. J. Med. 155:412413.
174. Samarasekera, D. N.,, and P. R. Nanayakkara. 2008. Rectal tuberculosis: a rare cause of recurrent rectal suppuration. Colorectal Dis. 10:846847.
175. Sathiyasekaran, M.,, and S. Shivbalan. 2004. Esophageal tuberculosis. Indian J. Pediatr. 71:457458.
176. Sato, S.,, K. Yao,, T. Yao,, R. J. Schlemper,, T. Matsui,, T. Sakurai,, and A. Iwashita. 2004. Colonoscopy in the diagnosis of intestinal tuberculosis in asymptomatic patients. Gastrointest. Endosc. 59:362368.
177. Savides, T. J.,, F. G. Gress,, L. J. Wheat,, S. Ikenberry,, and R. H. Hawes. 1995. Dysphagia due to mediastinal granulomas: diagnosis with endoscopic ultrasonography. Gastroenterology 109:366373.
178. Schulze, K.,, H. A. Warner,, and D. Murray. 1977. Intestinal tuberculosis: experience at a Canadian teaching institution. Am. J. Med. 63:735745.
179. Schwartz, D. C.,, and P. R. Pfau. 2003. Multifocal intestinal tuberculosis. Gastrointest. Endosc. 58:100.
180. Sefr, R.,, P. Rotterová,, and J. Konecný. 2001. Perforation peritonitis in primary intestinal tuberculosis. Dig. Surg. 18:475479.
181. Segal, I.,, L. O. Tim,, J. Mirwis,, D. G. Hamilton,, and A. Mannell. 1981. Pitfalls in the diagnosis of gastrointestinal tuberculosis. Am. J. Gastroenterol. 75:3035.
182. Seivewright, N.,, J. Feehally,, and A. C. Wicks. 1984. Primary tuberculosis of the esophagus. Am. J. Gastroenterol. 79:842843.
183. Shah, S.,, V. Thomas,, M. Mathan,, A. Chacko,, G. Chandy,, B. S. Ramakrishna,, and D. D. Rolston. 1992. Colonoscopic study of 50 patients with colonic tuberculosis. Gut 33:347351.
184. Sharma, B. L.,, H. Prasad,, D. K. Bhasin,, and K. Singh. 2000. Gastroduodenal tuberculosis presenting with massive hematemesis in a pregnant woman. J. Clin. Gastroenterol. 30:336.
185. Sharma, D.,, A. Gupta,, B. K. Jain,, V. Agrawal,, P. Dargan,, L. Upreti,, and V. Arora. Tuberculous gastric perforation: report of a case. Surg. Today 34:537541.
186. Sherman, S.,, J. J. Rohwedder,, K. P. Ravikrishnan,, and J. G. Weg. 1980. Tuberculous enteritis and peritonitis. Report of 36 general hospital cases. Arch. Intern. Med. 140:506508.
187. Sibartie, V.,, W. O. Kirwan,, S. O’Mahony,, W. Stack,, and F. Shanahan. 2007. Intestinal tuberculosis mimicking Crohn’s disease: lessons relearned in a new era. Eur. J. Gastroenterol. Hepatol. 19:347349.
188. Singh, K.,, S. A. Zargar,, D. Bhasin,, A. K. Malik,, B. Nagi,, and S. M. Bose. 1990. Isolated splenic vein thrombosis with natural shunt caused by jejunal tuberculosis. Trop. Gastroenterol. 11:3943.
189. Singh, V.,, A. K. Jain,, R. K. Lal,, V. K. Srivastava,, S. Khanna,, S. Gupta,, and J. P. Gupta. 1990. Serodiagnosis of gut tuberculosis. J. Assoc. Physicians India 38:267269.
190. Singh, V.,, P. Kumar,, J. Kamal,, V. Prakash,, K. Vaiphei,, and K. Singh. 1996. Clinicocolonoscopic profile of colonic tuberculosis. Am. J. Gastroenterol. 91:565568.
191. Sircar, S.,, V. A. Taneja,, and U. Kansra. 1996. Epidemiology and clinical presentation of abdominal tuberculosis—a retrospective study. J. Indian Med. Assoc. 94:342344.
192. Siu, Y. P.,, M. K. Tong,, Y. L. Kwok,, K. T. Leung,, T. H. Kwan,, C. S. Lam,, and T. C. Au. 2008. An unusual case of both upper and lower gastrointestinal bleeding in a kidney transplant recipient. Transpl. Infect. Dis. 10:276279.
193. Skutil, V.,, J. Varsa,, and M. Obsitník. 1985. Six-month chemotherapy for urogenital tuberculosis. Eur. Urol. 11:170176.
194. Sorrentino, D.,, C. Avellini,, and E. Zearo. 2004. Colonic sarcoidosis, infliximab, and tuberculosis: a cautionary tale. Inflamm. Bowel Dis. 10:438440.
195. Sreeramareddy, C. T.,, K. V. Panduru,, S. C. Verma,, H. S. Joshi,, and M. N. Bates. 2008. Comparison of pulmonary and extrapulmonary tuberculosis in Nepal-a hospital-based retrospective study. BMC Infect. Dis. 8:8.
196. Subei, I.,, B. Attar,, G. Schmitt,, and H. Levendoglu. 1987. Primary gastric tuberculosis: a case report and literature review. Am. J. Gastroenterol. 82:769772.
197. Sunakorn, P.,, S. Pongparit,, and S. Wongrung. 1980. Short course chemotherapy in tuberculous meningitis: a pilot trial. J. Med. Assoc. Thai. 63:340345.
198. Suzuki, H.,, K. Nagao,, and M. Miyazaki. 2002. The current status and problems of the intestinal tuberculosis through a review of the Annual of the Pathological Autopsy Cases in Japan. Kekkaku 77:355360.
199. Tabrisky, J.,, R. R. Lindstrom,, R. Peters,, and R. S. Lachman. 1975. Tuberculous enteritis. Review of a protean disease. Am. J. Gastroenterol. 63:4957.
200. Talukdar, R.,, S. Khanna,, N. Saikia,, and J. C. Vij. 2006. Gastric tuberculosis presenting as linitis plastica: a case report and review of the literature. Eur. J. Gastroenterol. Hepatol. 18:299303.
201. Tam, C. M.,, C. C. Leung,, K. Noertjojo,, S. L. Chan,, and M. Chan-Yeung. 2003. Tuberculosis in Hong Kong—patient characteristics and treatment outcome. Hong Kong Med. J. 9:90.
202. Tan, M. F.,, W. C. Ng,, S. H. Chan,, and W. C. Tan. 1997. Comparative usefulness of PCR in the detection of Mycobacterium tuberculosis in different clinical specimens. J. Med. Microbiol. 46:164169.
203. Tandon, R. K.,, R. Bansal,, B. M. Kapur, and, Shriniwas. 1980. A study of malabsorption in intestinal tuberculosis: stagnant loop syndrome. Am. J. Clin. Nutr. 33:244250.
204. Tewari, M.,, R. R. Mishra,, V. Kumar,, A. G. Kar,, and H. S. Shukla. 2009. Isolated tuberculosis of the ampulla of vater masquerading as periampullary carcinoma: a case report. JOP 10:184186.
205. Tripathi, P. B.,, and A. D. Amarapurkar. 2009. Morphological spectrum of gastrointestinal tuberculosis. Trop. Gastroenterol. 30:3539.
206. Tsai, T. J.,, H. C. Yu,, K. H. Lai,, G. H. Lo,, P. I. Hsu,, and T. Y. Fu. 2008. Primary aortoduodenal fistula caused by tuberculous aortitis presenting as recurrent massive gastrointestinal bleeding. J. Formos. Med. Assoc. 107:7783.
207. Upadhyay, A. P.,, R. S. Bhatia,, A. Anbarasu,, P. Sawant,, P. Rathi,, and S. A. Nanivadekar. 1996. Esophageal tuberculosis with intramural pseudodiverticulosis. J. Clin. Gastroenterol. 22:3840.
208. Uygur-Bayramicli, O.,, G. Dabak,, and R. Dabak. 2003. A clinical dilemma: abdominal tuberculosis. World J. Gastroenterol. 9:10981101.
209. Uzunkoy, A.,, M. Harma,, and M. Harma. 2004. Diagnosis of abdominal tuberculosis: experience from 11 cases and review of the literature. World J. Gastroenterol. 10:36473649.
210. Vahid, B.,, N. Huda,, and A. Esmaili. 2007. An unusual case of dysphagia and chest pain in a non-HIV patient: esophageal tuberculosis. Am. J. Med. 120:e1e2.
211. Vanderpool, D. M.,, and J. P. O’Leary. 1988. Primary tuberculous enteritis. Surg. Gynecol. Obstet. 167:167173.
212. Vanhoenacker, F. M.,, A. I. De Backer,, B. Op de Beeck,, M. Maes,, R. Van Altena,, D. Van Beckevoort,, P. Kersemans,, and A. M. De Schepper. 2004. Imaging of gastrointestinal and abdominal tuberculosis. Eur. Radiol. 14(Suppl. 3):E103E115.
213. Veeragandham, R. S.,, F. P. Lynch,, T. G. Canty,, D. L. Collins,, and W. M. Danker. 1996. Abdominal tuberculosis in children: review of 26 cases. J. Pediatr. Surg. 31:170175.
214. Villanueva Sáenz, E.,, P. Martínez Hernández Magro,, J. Fernando Alvarez-Tostado Fernández,, and M. Valdés Ovalle. 2002. Colonic tuberculosis. Dig. Dis. Sci. 47:20452048.
215. von Bartheld, M. B.,, K. W. van Kralingen,, R. A. Veenendaal,, L. N. Willems,, K. F. Rabe,, and J. T. Annema. 2010. Mediastinal-esophageal fistulae after EUS-FNA of tuberculosis of the mediastinum. Gastrointest. Endosc. 71:210212.
216. Wig, K. L.,, N. L. Chitkara,, S. P. Gupta,, K. Kishore,, and R. L. Manchanda. 1961. Ileocecal tuberculosis with particular reference to isolation of Mycobacterium tuberculosis. With a note on its relation to regional ileitis (Crohn’s disease). Am. Rev. Respir. Dis. 84:169178.
217. Wigley, F. M.,, H. W. Murray,, R. B. Mann,, G. P. Saba,, H. Kashima,, and J. J. Mann. 1976. Unusual manifestation of tuberculosis: TE fistula. Am. J. Med. 60:310314.
218. Williford, M. E.,, W. M. Thompson,, J. D. Hamilton,, and R. W. Postlethwait. 1983. Esophageal tuberculosis: findings on barium swallow and computed tomography. Gastrointest. Radiol. 8:119122.
219. Wong, W. M.,, K. C. Lai,, W. C. Yiu,, B. C. Wong,, F. L. Chan,, and C. L. Lai. 2007. Intestinal tuberculosis mimicking fistulizing Crohn’s disease. J. Gastroenterol. Hepatol. 22:137139.
220. World Health Organization. 2009. 2009 Update Tuberculosis Facts. World Health Organization, Geneva, Switzerland. http://www.who.int/tb/publications/2009/tbfactsheet_2009update_one_page.pdf. Accessed 27 January 2010.
221. World Health Organization. 2009. Global Tuberculosis Control: a Short Update to the 2009 Report. World Health Organization, Geneva, Switzerland. http://www.who.int/tb/publications/global_report/2009/update/tbu_9.pdf. Accessed 27 January 2010.
222. World Health Organization. 2007. Improving the Diagnosis and Treatment of Smear-Negative Pulmonary and Extrapulmonary Tuberculosis among Adults and Adolescents. World Health Organization, Geneva, Switzerland. http://whqlibdoc.who.int/hq/2007/WHO_HTM_TB_2007.379_eng.pdf. Accessed 27 January 2010.
223. World Health Organization. 2009. Morbidity Trend Tables United States. World Health Organization, Geneva, Switzerland. http://www.cdc.gov/tb/statistics/reports/2008/pdf/4_MorbTrend.pdf. Accessed 2 February 2010.
224. Woudstra, M.,, A. J. van Tilburg,, and J. S. Tjen. 1997. Two young Somalians with gastric outlet obstruction as a first manifestation of gastroduodenal tuberculosis. Eur. J. Gastroenterol. Hepatol. 9:393396.
225. Yang, Z.,, Y. Kong,, F. Wilson,, B. Foxman,, A. H. Fowler,, C. F. Marrs,, M. D. Cave,, and J. H. Bates. 2004. Identification of risk factors for extrapulmonary tuberculosis. Clin. Infect. Dis. 38:199205.
226. Yilmaz, E.,, A. Balci,, S. Sal,, and H. Cakmakci. 2003. Tuberculous ileitis in a renal transplant recipient with familial Mediterranean fever: gray-scale and power doppler sonographic findings. J. Clin. Ultrasound 31:5154.
227. Zedtwitz-Liebenstein, K.,, B. Podesser,, M. Peck-Radosavljevic,, and W. Graninger. 1999. Intestinal tuberculosis presenting as fever of unknown origin in a heart transplant patient. Infection 27:289290.
228. Zhang, X. F.,, Y. Lv,, W. J. Xue,, B. Wang,, C. Liu,, P. X. Tian,, L. Yu,, X. Y. Chen,, and X. M. Liu. 2008. Mycobacterium tuberculosis infection in solid organ transplant recipients: experience from a single center in China. Transplant. Proc. 40:13821385.
229. Zhou, Z. Y.,, and H. S. Luo. 2006. Differential diagnosis between Crohn’s disease and intestinal tuberculosis in China. Int. J. Clin. Pract. 60:212214.


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Table 1.

Symptoms of gastrointestinal tuberculosis

Citation: Choi E, Coyle W. 2011. Gastrointestinal Tuberculosis, p 350-366. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817138.ch23

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