TROPICAL DISEASE 21

6.3.3 INVESTIGATIO

TB GIT

- There is a mild anaemia in about 80% of patients. 

- Hypoalbuninaemia may be present. 

- The ESR is elevated in over 90%of patients. 

- There is a relative neutropaenia with a relative lymphocytosis in

about one-third of patients. 

- Tuberculin test is positive in over 90% of patients.

6.3.4 SURGICAL TREATMENT

With  modern antituberculous drugs complete cure and  improvement

of  symptoms  occurs  in about 90%  of  patients  with  abdominal

tuberculosis.  

Surgery   is  reserved  for  the   treatment   of

complications namely:

   *  Bowel OBSTRUCTION.

   *  Peforation of an ulcer with PERITONITIS or combined with

      FISTULA formation of adjoining loops.

   *  Massive HAEMORRHAGE. The presence of an ileo-caecal mass of

      uncertain origin is an additional indication

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