Oesophageal Tuberculosis: A Systematic Review Focusing on Clinical Management View Full Text


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Article Info

DATE

2021-09-04

AUTHORS

Chhagan Lal Birda, Antriksh Kumar, Pankaj Gupta, Harjeet Singh, Vishal Sharma

ABSTRACT

Oesophageal tuberculosis, an uncommon form of extrapulmonary tuberculosis, has been reported mainly as small case series and the literature is heterogeneous. A systematic review to characterize the clinical presentation, evaluation and management of oesophageal tuberculosis was performed. Electronic databases were searched with keywords: esophagus OR esophageal AND tuberculosis. We included original papers and case series (> 4 patients) with oesophageal tuberculosis. Twenty-two studies reporting 311 patients were included. Mean age in most of the studies was 31–51 years and male gender constituted 50.5% patients. Dysphagia (72.3%), odynophagia (22.4%) and chest pain (31.3%) were predominant symptoms. Mid-oesophagus was the commonest site of involvement (88%). Endoscopic findings included ulcers (59.9%), submucosal bulge (31.7%), extrinsic compression (24.8%) and pseudotumour (5.8%). On endoscopic ultrasound, presence of hypoechoic (69.5%), heteroechoic (47.6%) and matted (86.3%) mediastinal lymph nodes and oesophageal wall involvement (67.3%) were common findings. Computed tomography showed mediastinal lymphadenopathy (76.5%) and oesophageal thickening (52.1%). Diagnosis was confirmed by granuloma (72.3%) and acid fast bacilli positivity (32.5%) in mots patients. Response to antitubercular therapy was excellent; 97.7% patients recovered and 2.3% patients died. Surgery (14.5%) and oesophageal stenting (11.4%) were required infrequently. Oesophageal tuberculosis should be considered in endemic regions as a cause of dysphagia because early treatment is associated with excellent outcomes. More... »

PAGES

1-15

References to SciGraph publications

  • 1991-04. Tuberculosis of the esophagus in DIGESTIVE DISEASES AND SCIENCES
  • 2020-08-28. EUS in the diagnosis of pathologically undiagnosed esophageal tuberculosis in BMC GASTROENTEROLOGY
  • 1983-12. Esophageal tuberculosis: Findings on barium swallow and computed tomography in GASTROINTESTINAL RADIOLOGY
  • 2012-10-18. Society of Gastrointestinal Endoscopy of India in INDIAN JOURNAL OF GASTROENTEROLOGY
  • 2017-11-22. Abstracts - Indian Society of Gastroenterology in INDIAN JOURNAL OF GASTROENTEROLOGY
  • 2008-12-03. Advantages and Pitfalls of the Polymerase Chain Reaction in the Diagnosis of Esophageal Ulcers in AIDS Patients in DIGESTIVE DISEASES AND SCIENCES
  • 2002-02-01. Esophageal tuberculosis: is it so rare? Report of 12 cases and review of the literature in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
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    URI

    http://scigraph.springernature.com/pub.10.1007/s00455-021-10360-x

    DOI

    http://dx.doi.org/10.1007/s00455-021-10360-x

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34482490


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