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©2014 Baishideng Publishing Group Co.
World J Gastroenterol. May 7, 2014; 20(17): 5017-5024
Published online May 7, 2014. doi: 10.3748/wjg.v20.i17.5017
Published online May 7, 2014. doi: 10.3748/wjg.v20.i17.5017
Criteria | |
Inclusion criteria | |
Intestinal tuberculosis (as per modified Paustian’s criteria[31,32]: (a), and one or more of (b) and (c) had to be fulfilled) | (a) Endoscopic apparent intestinal tuberculosis: transverse ulcers, pseudopolyps, involvement of fewer than four intestinal segments, patulous ileo-coecal valve (b) Histological evidence of tubercles/granulomas with caseation necrosis in intestinal biopsies (c) Clinical response to antituberculous chemotherapeutic drug treatment (ATT) trial |
Crohn’s disease (as per ECCO guidelines 2010[33] and management consensus of inflammatory bowel disease for the Asia-Pacific region 2006[34]) | Exclusion of infectious enterocolitis Endoscopic: ileal disease, rectal sparing, confluent deep linear ulcers, aphthoid ulcers, deep fissures, fistulae, skip lesions (segmental disease), cobble-stoning Histological: focal (discontinuous) chronic (lymphocytes and plasma cells) inflammation and patchy chronic inflammation, focal crypt irregularity (discontinuous crypt distortion) and granulomas (not related to crypt injury) Samples from ileum: irregular villous architecture |
Exclusion criteria | |
Malignancy | |
HIV positive | |
Age below 18 yr |
- Citation: Larsson G, Shenoy T, Ramasubramanian R, Balakumaran LK, Småstuen MC, Bjune GA, Moum BA. Routine diagnosis of intestinal tuberculosis and Crohn's disease in Southern India. World J Gastroenterol 2014; 20(17): 5017-5024
- URL: https://www.wjgnet.com/1007-9327/full/v20/i17/5017.htm
- DOI: https://dx.doi.org/10.3748/wjg.v20.i17.5017