Editor’s Pick: Recent Advances in the Diagnosis and Management of Abdominal Tuberculosis

Mandavdhare et al. give an excellent overview of extrapulmonary tuberculosis, with a special focus on abdominal involvement. Unfortunately, this topic requires the attention of all, due to its rising incidence and increasing global migration. There are valuable paragraphs summarising the clinical presentation, diagnostic approach, and relevant comorbidities, as well as challenges in the treatment of the disease and confirmation of its success. Dr Jan Bornschein

Harshal S. Mandavdhare,1 Harjeet Singh,1 *Vishal Sharma2

1. Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2. General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
*Correspondence to docvishalsharma@gmail.com

Disclosure: The authors have declared no conflicts of interest.
Received: 04.05.17 Accepted: 18.10.17
Citation: EMJ Gastroenterol. 2017;6[1]:52-60.

Abstract

Abdominal tuberculosis and its protean manifestations still create a diagnostic challenge for clinicians and remain an important concern in the developing world. Crohn’s disease, which is being increasingly recognised in countries where intestinal tuberculosis is prevalent, needs to be differentiated as the two diseases resemble each other in their clinical presentation, and in their radiological, endoscopic, and histological findings. New diagnostic modalities and scoring systems have facilitated the differentiation of Crohn’s disease from intestinal tuberculosis with good accuracy. Randomised trials have shown 6 months of therapy to be equivalent to longer durations of treatment for patients with abdominal tuberculosis. This review focusses on the recent advances in diagnosis and management of abdominal tuberculosis.

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