Journal of AdvancedMedical and Dental Sciences Research

Background: The present study compared strictureplasty with resection and anastomosis in patients with obstruction of small intestine due to Tuberculosis (TB). Materials & Methods: 68 patients of intestinal TB of small intestinal were divided into 2 groups. Group I patients underwent Henike-Meckuliz strictureplasty and group II patients underwent resection and anastomosis. Results: Common clinical features were abdominal pain seen in 16 in group I and 18 in group II, vomiting 20 in group I and 17 in group II, weight loss 15 in group I and 12 in group II, ascites 6 in group I and 4 in group II, abdominal mass 2 in group I and 4 in group II, pulmonary TB 1 in group I and 2 in group II, lymphadenitis 4 in group I and 3 in group II and peritonitis seen 1 patient in group I. Common complication were paralytic ileus 6 in group I and 25 in group II, fistula formation 1 in group I and 2 in group II, anastomosis leakage 1 in groupie, wound dehiscence 1 in group I and 2 in group II, wound infection 3 in group I and 14 in group II, recurrent obstruction 1 in group II, incisional hernia 1 in each group and pelvic abscess 1 in group II. Conclusion: Complications were less in strictureplasty as compared to those who underwent resection and anastomosis, both treatment modalities may be used for the management of cases. Key words: Strictureplasty, Resection and anastomosis, Intestinal tuberculosis