title: Comparison between strictureplasty and resection anastomosis in tuberculous intestinal strictures.
abstract: 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.
authors.affiliation: Department of General Surgery, Unit I, Rawalpindi General Hospital, Rawalpindi. sheenopk@yahoo.com
authors.forename: Afsheen
authors.initials: A
authors.lastname: Zafar
authors.forename: Abrar Maqbool
authors.initials: AM
authors.lastname: Qureshi
authors.forename: Mohammad
authors.initials: M
authors.lastname: Iqbal
mesh_terms: 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*