Abstract
Objectives: To evaluate the management strategies of patients with ileocaecaltuberculosis. Study Design: Cross sectional multi-institutional study. Period: One year. Setting:Liaquat University Hospital Hyderabad / Jamshoro and Peoples University Hospital Nawabshah.Patients and Methods: All the patients of ≥11 years of age, either gender diagnosed asileocaecal tuberculosis were recruited, enrolled and evaluate for management strategies. Thedata was analyzed in SPSS 16 and the frequency and percentage was calculated. Results:During one year study period total 85 patients were identified and diagnosed as ileocaecaltuberculosis. The mean age ±SD for whole population was 39.72±7.73 while it was 37.87±8.83and 40.88±8.52 in male and female population whereas the mean ± SD for duration ofsymptoms of whole study population was 5.52±1.61 months respectively. Sixty nine (81%)patients managed surgical while 16 (19%) managed conservatively. The non specific symptomsi.e. fever, pain and tender abdomen, loss of weight and appetite was observed while 70%subjects had Hb% was <10 gms and 80% of individuals had ESR > 40 mm/1st hour whereascommon radiological impression observed were narrowing of terminal ileum, pulled up caecumand obtuse ileocaecal angle. Conclusion: Ileocaecal tuberculosis management includesconservatives and surgical, the surgical options are ileocaecal resection, right hemicolectomiesand stricturoplasty
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