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민진식(Jin Sik Min),김춘규(Choon Kyu Kim),지훈상(Hoon Sang Chi),박호규(Ho Kyu Park) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1
N/A All Forms of tuberculosis-prevalence and mortality-has been significantly decreased due to development of anti-tuberculous chemotherapy, preventive medicine, vaccination and early detection of pulmonary tuberculosis. Duodenal tuberculosis is very rare in many clinical and autopsy reports. Duodenal tuberculosis is hardly differentiated from peptic ulcer or malignant neoplasm in both clinical and radiological findings. Recently the author experienced 2 cases of duodenal tuberculosis and therefore reporting the results of treatment. 1) Two cases were both females aged 37 and 50. 2) Clinical symptoms were epigastric discomfort, abdominal pain, vomiting and diarrhea. 3) Duration of symptomatic illness were within 1 year. 4) On plain chest films, 1 cases showed the evidence of healed pulmonary tuberculosis but other case showed no abnormality. 5) Sputum and stool were both negative for acid-fast bacilli. 6) The barium meal studies showed obstruction of 3rd portion of duodenum in both cases. 7) Accurate diagnosis was obtained in one case preoperatively, by the fibergastroscopic biopsy. 8) Both cases were operated on; (1) biopsy (2) truncal vagotomy (3) gastrojejunostomy. 9) Postoperative antituberculous chemotherapy was performed in both cases.