Outcome of Surgical Management of Intestinal Tuberculosis in a Tertiary Care Hospital

Background: Intestinal tuberculosis constitutes a common health issues in developing countries. The infection may reach the gastrointestinal tract by direct contact or may spread from infected adjacent lymph nodes and viscera. The ileal and ileocecal regions are the most common sites affected.

Objectives: To assess outcome of surgical management for intestinal tuberculosis in a tertiary care hospital.

Method: This cross sectional study was conducted at Surgery indoor department, Rajshahi Medical College Hospital, Rajshahi between 1st June 2020 and 31st May 2021. A total of 100 patients having intestinal tuberculosis who needed surgical management were enrolled for the study. Statistical analysis of the results was performed by using window based computer software devised with Statistical Packages for Social Sciences (SPSS-23).

Result: Most (49.0%) of the respondents had sub-acute intestinal obstruction as mode of presentation, majority (65.0%) of the respondents’ had multiple per-operative findings, greater part (40.0%) of the respondents had resection of affected segment of ileum, exterioration of ends in first stage and stoma reversal with ileo-ileal anastomosis in second stage. The relationship between post-operative outcome of the respondents was statistically significant (p<0.001; with age group, sex, BMI, RBS, mode of presentation and operation performed.

Conclusion: Early diagnosis and surgical treatment of the associated complications are essential for survival. So, identification of these surgical outcome as well as to ensure prompt and effective management can improve the health care delivery.