Importance of ileoscopy during colonoscopy for the early diagnosis of ileal tuberculosis: Report of two cases
Department of Medicine, Department of Pathology, Alice Ho Miu Ling Nethersole Hospital, Tai Po, New Territoties, Hong Kong SAR.Gastrointestinal Endoscopy (Impact Factor: 5.37). 07/2001; 53(7):813-5. DOI: 10.1067/mge.2001.114954
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ABSTRACT: When considered in the appropriate clinical scenarios, the diagnoses of Crohn's disease or ulcerative colitis are usually straightforward. Most cases can be definitively diagnosed by the typical subacute or chronic history of symptoms, and radiographic, endoscopic, and histologic confirmation in the presence of negative stool studies; newer serologic assays are now available and are of value if the diagnosis remains uncertain. In this paper, we review distinguishing features in the diagnosis of ileitis and the distinction to be made in conclusively diagnosing ulcerative vs. Crohn's colitis.Seminars in gastrointestinal disease 11/2001; 12(4):211-22.
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ABSTRACT: Flexible sigmoidoscopy and colonoscopy have revolutionized the clinical management of colonic diseases. Colonoscopy is a highly sensitive and specific test. Colonic diseases often produce characteristic colonoscopic findings, as well as characteristic histologic findings, as identified in colonoscopic biopsy or polypectomy specimens. Colonoscopy is relatively safe, with a low incidence of serious complications, such as colonic perforation, hemorrhage, cardiopulmonary arrest, or sepsis. Colonoscopy is becoming more important clinically because of more widespread use of screening colonoscopy for colon cancer, application of therapeutic colonoscopy, and exciting new technical improvements.Medical Clinics of North America 12/2002; 86(6):1253-88. DOI:10.1016/S0025-7125(02)00077-9 · 2.61 Impact Factor
Article: Gastrointestinal tuberculosis[Show abstract] [Hide abstract]
ABSTRACT: Gastrointestinal tuberculosis is defined as infection of the peritoneum, hollow or solid abdominal organs, and abdominal lymphatics with Mycobacterium tuberculosis organisms. Gastrointestinal tuberculosis is relatively rare in the United States and is the sixth most common extrapulmonary location. Populations at risk include immigrants to the United States, the homeless, prisoners, residents of long-term care facilities, and the immunocompromised. The peritoneum and the ileocecal region are the most likely sites of infection and are involved in the majority of cases by hematogenous spread or through swallowing of infected sputum from primary pulmonary tuberculosis. Pulmonary tuberculosis is apparent in less than half of patients. Patients usually present with abdominal pain, weight loss, fever, anorexia, change in bowel habits, nausea, and vomiting. The diagnosis is often delayed and is usually made through a combination of radiologic, endoscopic, microbiologic, histologic, and molecular techniques. Antimicrobial treatment is the same as for pulmonary tuberculosis. Surgery is occasionally required.Current Gastroenterology Reports 09/2003; 5(4):273-8. DOI:10.1007/s11894-003-0063-1
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