Tuberculosis is an important health care problem in developing countries. Extrapulmonary tuberculosis can affect many organs. However gastrointestinal tuberculosis is a rare condition with 3-5% frequency. Tuberculosis enteritis and tuberculosis peritonitis are the major clinical manifestations of gastrointestinal tuberculosis. Differential diagnosis between Crohn’s disease and tuberculosis enteritis is important. Immunsupresive treatments including anti-tumour necrosis factors are the leading treatment modalities in Crohn’s disease. Therefore distinction between these conditions is crucial.
1. Fernandes C, Allocca M, Danese S, Fiorino G. Progress with anti-tumor necrosis factor therapeutics for the treatment of inflammatory bowel disease. Immunotherapy 2015;7:175-90.
2. Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Fam Physician 2005;72:1761-8.
3. Chong VH, Lim KS. Gastrointestinal tuberculosis. Singapore Med J 2009;50:638-45.
5. Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993;88:989-99.
6. Kapoor VK. Abdominal tuberculosis. Postgrad Med J 1998;74:459-67.
7. Horvath KD, Whelan RL. Intestinal tuberculosis: return of an old disease. Am J Gastroenterol 1998;93:692-6.
8. Balthazar EJ, Gordon R, Hulnick D. Ileocecal tuberculosis: CT and radiologic evaluation. AJR Am J Roentgenol 1990;154:499-503.
9. Ha HK, Ko GY, Yu ES, et al. Intestinal tuberculosis with abdominal complications: radiologic and pathologic features. Abdom Imaging 1999;24:32-8.
10. Pulimood AB, Ramakrishna BS, Kurian G, et al. Endoscopic mucosal biopsies are useful in distinguishing granulomatous colitis due to Crohn’s disease from tuberculosis. Gut 1999;45:537-41
Crohn hastalığı ve intestinal tüberküloz birlikteliği
Tüberküloz gelişmekte olan ülkelerde halen önemli bir sağlık sorunudur. Ekstrapulmoner tüberküloz bir çok organı etkileyebilir. Gastrointestinal sistem tüberkülozu %3-5 ile sık izlenilmeyen bir ekstrapulmoner tüberküloz nedenidir; sıklıkla tüberküloz enteriti ve tüberküloz peritoniti olarak karşımıza çıkar. Tüberküloz enteriti ile Crohn hastalığı ayrımı önemlidir. Günümüzde Crohn hastalığının tedavisinde merkezde immünsüpresif ilaçlar yer almaktadır. Bu nedenle bu ayrım hayati önem taşımaktadır.
1. Fernandes C, Allocca M, Danese S, Fiorino G. Progress with anti-tumor necrosis factor therapeutics for the treatment of inflammatory bowel disease. Immunotherapy 2015;7:175-90.
2. Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Fam Physician 2005;72:1761-8.
3. Chong VH, Lim KS. Gastrointestinal tuberculosis. Singapore Med J 2009;50:638-45.
5. Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993;88:989-99.
6. Kapoor VK. Abdominal tuberculosis. Postgrad Med J 1998;74:459-67.
7. Horvath KD, Whelan RL. Intestinal tuberculosis: return of an old disease. Am J Gastroenterol 1998;93:692-6.
8. Balthazar EJ, Gordon R, Hulnick D. Ileocecal tuberculosis: CT and radiologic evaluation. AJR Am J Roentgenol 1990;154:499-503.
9. Ha HK, Ko GY, Yu ES, et al. Intestinal tuberculosis with abdominal complications: radiologic and pathologic features. Abdom Imaging 1999;24:32-8.
10. Pulimood AB, Ramakrishna BS, Kurian G, et al. Endoscopic mucosal biopsies are useful in distinguishing granulomatous colitis due to Crohn’s disease from tuberculosis. Gut 1999;45:537-41
Akpınar, M. Y., Özderin Özin, Y., Yamak, S., Kayaçetin, E. (2015). Crohn hastalığı ve intestinal tüberküloz birlikteliği. Endoskopi Gastrointestinal, 23(3), 84-86. https://doi.org/10.17940/endoskopi.468713
AMA
Akpınar MY, Özderin Özin Y, Yamak S, Kayaçetin E. Crohn hastalığı ve intestinal tüberküloz birlikteliği. Endoskopi Gastrointestinal. Aralık 2015;23(3):84-86. doi:10.17940/endoskopi.468713
Chicago
Akpınar, Muhammet Yener, Yasemin Özderin Özin, Seda Yamak, ve Ertuğrul Kayaçetin. “Crohn hastalığı Ve Intestinal tüberküloz birlikteliği”. Endoskopi Gastrointestinal 23, sy. 3 (Aralık 2015): 84-86. https://doi.org/10.17940/endoskopi.468713.
EndNote
Akpınar MY, Özderin Özin Y, Yamak S, Kayaçetin E (01 Aralık 2015) Crohn hastalığı ve intestinal tüberküloz birlikteliği. Endoskopi Gastrointestinal 23 3 84–86.
IEEE
M. Y. Akpınar, Y. Özderin Özin, S. Yamak, ve E. Kayaçetin, “Crohn hastalığı ve intestinal tüberküloz birlikteliği”, Endoskopi Gastrointestinal, c. 23, sy. 3, ss. 84–86, 2015, doi: 10.17940/endoskopi.468713.
ISNAD
Akpınar, Muhammet Yener vd. “Crohn hastalığı Ve Intestinal tüberküloz birlikteliği”. Endoskopi Gastrointestinal 23/3 (Aralık 2015), 84-86. https://doi.org/10.17940/endoskopi.468713.
JAMA
Akpınar MY, Özderin Özin Y, Yamak S, Kayaçetin E. Crohn hastalığı ve intestinal tüberküloz birlikteliği. Endoskopi Gastrointestinal. 2015;23:84–86.
MLA
Akpınar, Muhammet Yener vd. “Crohn hastalığı Ve Intestinal tüberküloz birlikteliği”. Endoskopi Gastrointestinal, c. 23, sy. 3, 2015, ss. 84-86, doi:10.17940/endoskopi.468713.
Vancouver
Akpınar MY, Özderin Özin Y, Yamak S, Kayaçetin E. Crohn hastalığı ve intestinal tüberküloz birlikteliği. Endoskopi Gastrointestinal. 2015;23(3):84-6.