Comparison between strictureplasty and resection anastomosis in tuberculous intestinal strictures.
OBJECTIVE
To compare the effectiveness, safety and morbidity of strictureplasty with resection anastomosis in patients with tuberculous small gut strictures.


METHODS
Prospective comparison study.


METHODS
Surgical Unit-I of Rawalpindi General Hospital from March 2000 to February 2002.


METHODS
Thirty patients who presented with intestinal obstruction due to tuberculous strictures, and underwent either resection anastomosis or strictureplasty were included in the study. Data was collected on a proforma and analyzed using software SPSS (version 8.0). Chi-square and t-test were used to test the hypothesis. Main outcome measures included the presence or absence of postoperative leakage anastomosis, wound infection, recurrence of intestinal obstruction and postoperative stay.


RESULTS
Chi-square test applied to see the effectiveness showed no significant difference (p>0.5) between the two procedures. t-Test on the score of morbidity also showed no significant difference (p>0.5) between the two procedures.


CONCLUSIONS
Both procedures performed were equally effective and had equal morbidity in cases of intestinal tuberculous strictures. Strictureplasty is superior to resection anastomosis in cases of multiple strictures as it conserves gut length and can even be performed safely in cases with coexistent gut perforation.
Zafar
Afsheen
A
Department of General Surgery, Unit I, Rawalpindi General Hospital, Rawalpindi. sheenopk@yahoo.com
Qureshi
Abrar Maqbool
AM
Iqbal
Mohammad
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011446:Prospective Studies; D014385:Tuberculosis, Gastrointestinal / Q000601:surgery*