When gastrointestinal luminal tuberculosis is complicated by structural or mechanical disease, medical management alone is insufficient. The presence of intestinal stricture, hypertrophic intestinal disease, or acute abdomen defines a clinical subset that requires a distinct management pathway.
This protocol addresses gastrointestinal luminal tuberculosis presenting with one or more of the following complications: intestinal stricture, hypertrophic intestinal disease, or acute abdomen. Surgical intervention is specifically reserved for these complications, or when diagnostic uncertainty exists.
The management in this setting is surgical. The operative strategy varies according to which complication is present — full protocol details outlining the approach for each clinical scenario are available via the link below.
Surgical intervention is reserved for complications—fibrosis, strictures, and acute abdomen—or when there is uncertainty in the diagnosis.
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