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Table 1 Details of previous reports and our case

From: Duodenal tuberculosis with gastric outlet obstruction: a case report of successful diagnosis and treatment, with review of literature

Year, authors

Country of author

Age/sex

Symptoms

Onset time

PTB

Part of lesion

Pre-treatment diagnosis

Treatment (surgical procedure)

Diagnostic method (tool of Bx)

Response to treatment

1985, Ahmed M

Pakistan

22/M

Bowel obstruction, Fever

4 M

(−)

D3

Operation → ATT (Duodenojejunostomy)

Pathological (Surgical)

8/M

Vomit, Abdominal pain

Few M

(−)

D3

ATT only

Empirical treatment

1 M for weight gain

1986, Kriplani AK

India

45/M

Fullness, Vomit, Weight loss

6 M

(+)

D3

Operation → ATT (Gastroenterostomy, Truncal vagotomy)

Pathological (Surgical)

1996, Mani S

India

18/M

Epigastric pain, Vomit

6 M

(+)

D2

Operation → ATT (Gastroenterostomy, Truncal vagotomy)

Pathological (Surgical)

6 M for symptom free

2005, Rautou PE

French

32/M

Abdominal pain, Esophagitis, Duodenal stenosis

(−)

D2

Zollinger–Ellison syndrome

Operation → ATT (Pancreatoduodenectomy)

Pathological (Surgical)

2008, Benzekri O

Morocco

60/M

Abdominal pain, Vomit, Weight loss

1 M

(−)

D1

Operation → ATT (Gastroenterostomy)

Pathological (Surgical)

11 M for symptom improvement

57/M

Epigastric pain, Vomit, Weight loss

6 M

(−)

D3

Operation → ATT (Duodenojejunectomy, Duodenojejunostomy)

Pathological (Surgical)

3Y for symptom free

2011, Flores HB

Philippines

31/M

Epigastric pain, Vomit

1Y

(−)

D1

Peptic ulcer

Operation → ATT (Gastrojejunostomy)

Pathological (Surgical)

3 M for symptom free

2011, Al-Hilou H

UK

62/F

Heartburn, Chest discomfort, Malaise, Weight loss

9 M

(−)

D2

Suspicious of TB

ATT only

Pathological, Bacteriological (EUS-FNA, Surgical)

2012, Chawla I

India

42/M

Epigastric pain, Fullness, Vomit

25D

(−)

D3

Operation → ATT (Gastrojejunostomy, Jejunojejunostomy)

Pathological (Surgical)

2013, Padmanabhan H

UK

33/M

Dyspepsia, GOO, Weight loss

3Y

(−)

D1, D2

Crohn’s disease or TB or Peptic ulcer

Endoscopic balloon dilation + ATT

Bacteriological (Endoscopic)

3 M for improvement of endoscopic findings

2013, Sisodiya R

India

35/F

Fullness, Vomit, Weight loss

3Y

(−)

D3

SMA syndrome, Duodenal stricture

Operation → ATT (Jejunum resection, Duodenojejunostomy, Ileocecal resection)

Pathological (Surgical)

2014, Fatemi SR

Iran

18/F

Abdominal pain, Nausea, Vomit, Fatigue, Powerless, Weight loss

4 M

(−)

D2, D3

Retroperitoneal lymphoma or GIST or Desmoid tumor

Operation → ATT (Gastrojejunostomy)

Pathological, Bacteriological, PCR (Surgical)

2017, Kalpande S

India

13/M

Vomit, Fever, Epigastric pain, Weight loss

14D

(−)

D1, D2

Peptic ulcer

Operation → ATT (Gastrojejunostomy)

Pathological (Surgical)

3 M for partial improvement of endoscopic findings

2017, Lee JM

Korea

47/F

Vomit, Weight loss

1 M

(+)

D3, D4

TB

ATT → Operation (Laparoscopic duodenojejunostomy)

PCR (Endoscopic)

2018, Udgirkar S

India

24/F

Vomit, Fever, Weight loss

1 M

(−)

D1, D2

TB

ATT only

Pathological, Bacteriological (Endoscopic)

6 M for improvement of endoscopic findings

22/F

Upper abdominal pain, Vomit

1 M

(−)

D1

TB

ATT only

Bacteriological (Endoscopic)

5 M for improvement of endoscopic findings

2019, Meregildo-Rodríguez E

Peru

31/M

Fullness, Epigastric pain, Nausea, Vomit, Weight loss

4 M

(−)

D2, D3

Duodenal stricture

ATT only

Pathological (Endoscopic)

2 M for symptom improvement

2020, Chang A

Thailand

52/M

Abdominal pain, Early satiety, Weight loss

3 M

(−)

D2

Peptic stricture

Endoscopic balloon dilation → ATT

Bacteriological (Endoscopic)

6 M for some improvement and 12 M for complete resolution of endoscopic findings

2023, Molla YD

Ethiopia

48/M

Vomit, Epigastric pain, Weight loss

1Y

(−)

D2, D3

TB

ATT only

Pathological (Endoscopic)

6 M for symptom improvement

Our case

Japan

35/M

Epigastric pain, Fullness, Vomit, Weight loss

1 M

(+)

D1, D2

TB

Operation → ATT (Laparoscopic gastrojejunostomy)

Pathological (EUS-FNA), Bacteriological (Septum PCR)

Persistent stenosis at 6 M endoscopy

  1. ATT Antituberculosis treatment, Bx biopsy, D Days, EUS-FNA Endoscopic ultrasound-guided fine-needle aspiration, GIST Gastrointestinal stromal tumor, GOO Gastric outlet obstruction, M Months, PCR Polymerase chain reaction, PTB Pulmonary tuberculosis, SMA Superior mesenteric artery, TB Tuberculosis, UK United kingdom, Y Years, – Not mentioned