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The value of colonoscopy in schistosomal, tuberculous, and amebic colitis

Two-year experience

  • Published:
Diseases of the Colon & Rectum

Abstract

Forty-six patients were diagnosed as having schistosomal, tuberculous, or amebic colitis over a two-year period using colonoscopy and biopsy. Both schistosomal and tuberculous colitis could be diagnosed by characteristic endoscopic and histologic features in the majority of cases. Colonoscopy provided the added advantage of endoscopic polypectomy at the diagnostic session itsell. The yield of granulomas in tuberculous lesions was 100 percent, although acid-fast bacilli could not be recovered from any. The endoscopic picture of amebic colitis often resembles that of inflammatory bowel disease; hence endoscopic biopsies are of paramount importance in establishing a correct diagnosis, especially in developing countries where both diseases exist with considerable frequency.

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References

  1. Williams CB. The clinical yield of colonoscopy. Postgrad Med J 1984;60:803–10.

    PubMed  CAS  Google Scholar 

  2. Waye JD, Hunt RH. Colonoscopic diagnosis of inflammatory bowel disease. Surg Clin North Am 1982;62:905–13.

    PubMed  CAS  Google Scholar 

  3. Radhakrishnan BA, Jacob GS, Al-Liddawi H, Al-Ruwaih A. Inflammatory bowel disease in Kuwait. Am J Gastroenterol 1984;79:191–4.

    PubMed  Google Scholar 

  4. Bessa SM, Helmy I, El-Kharadly Y. Colorectal schistosomiasis: endoscopic polypectomy. Dis Colon Rectum 1983;26:772–4.

    Article  PubMed  CAS  Google Scholar 

  5. Bessa SM, Helmy I, Mekky F, Hamam SM. Colorectal schistosomiasis: clinicopathologic study and management. Dis Colon Rectum 1979;22:390–5.

    PubMed  CAS  Google Scholar 

  6. Koppisch E. Manson's schistosomiasis. JAMA 1943;121:936–42.

    Google Scholar 

  7. Jaffe R. Pathological anatomy and pathogenesis of bilharziasis mansoni in Venezuela. Arch Venez Pat Trop Parasitology Med 1948;1:32–62.

    Google Scholar 

  8. Pontes JT. Rectosigmoidoscopic aspects of mansonian schistosomiasis in Brazil. Dis Colon Rectum 1961;4:343–8.

    Article  PubMed  CAS  Google Scholar 

  9. Hussein AM, Medany S, Abou El Magd AM, Sherif SM, Williams CB. Multiple endoscopic polypectomies for schistosomal polyposis of the colon. Lancet 1983;1:673–4.

    Article  PubMed  CAS  Google Scholar 

  10. Abdel-Wahab MF. Schistosomiasis in Egypt. Florida: CRC Press, 1982:104–13.

    Google Scholar 

  11. Dimmette RM, Sproat HF. Recto sigmoid polyps in schistosomiasis: I. General clinical and pathological considerations. Am J Trop Med Hyg 1955;4:1057–67.

    PubMed  CAS  Google Scholar 

  12. Homan WP, Grafe WR, Dineen P. A 44-year experience with tuberculous enterocolitis. World J Surg 1977;1:245–50.

    Article  Google Scholar 

  13. Bhargava DK, Tandon HD. Ileocaecal tuberculosis diagnosed by colonoscopy and biopsy. Aust NZ J Surg 1980;50:583–5.

    CAS  Google Scholar 

  14. Koo J, Ho J, Ong GB. The value of colonoscopy in the diagnosis of ileo-caecal tuberculosis. Endoscopy 1982;14:48–50.

    Article  PubMed  CAS  Google Scholar 

  15. Breiter JR, Hajjar JJ. Segmental tuberculosis of the colon diagnosed by colonoscopy. Am J Gastroenterol 1981;76:369–73.

    PubMed  CAS  Google Scholar 

  16. Bhargava DK, Tandon HD, Chawla TC, Shriniwas, Tandon BN, Kapur BM. Diagnosis of ileocecal and colonic tuberculosis by colonoscopy. Gastrointest Endoscp 1985;31:68–70.

    CAS  Google Scholar 

  17. Wig KL, Chitkara NL, Gupta SP, Kishore K, Manchanda RL. Ileocecal tuberculosis with particular reference to isolation of mycobacterium tuberculosis: with a note on its relation to regional ileitis (Crohn's disease). Am Rev Respir Dis 1961;84:169–78.

    PubMed  CAS  Google Scholar 

  18. Tandon HD, Prakash AT, Rao VB, Prakash OM, Nair SK. Ulceroconstrictive disorders of the intestine in northern India: a pathologic study. Indian J Med Res 1966;54:129–41.

    PubMed  CAS  Google Scholar 

  19. Pittman FE, El-Hashimi WK, Pittman JC. Studies on human amebiasis: I. Clinical and laboratory findings in eight cases of acute amebic colitis. Gastroenterology 1973;65:581–7.

    PubMed  CAS  Google Scholar 

  20. Blumencranz H, Kasen L, Romeu J, Waye JD, LeLeiko NS. The role of endoscopy in suspected amebiasis. Am J Gastroenterol 1983;78:15–8.

    PubMed  CAS  Google Scholar 

  21. Pehrson PO. Amoebiasis in a non-endemic country: epidemiology, presenting symptoms and diagnostic methods. Scand J Infect Dis 1983;15:207–14.

    PubMed  CAS  Google Scholar 

  22. Rozen P, Baratz M, Rattan J. Rectal bleeding due to amebic colitis diagnosed by multiple endoscopic biopsies: report of two cases. Dis Colon Rectum 1981;24:127–9.

    PubMed  CAS  Google Scholar 

  23. Friedrich IA, Korsten MA, Gottfried EB. Necrotizing amebic colitis with pseudomembrane formation. Am J Gastroenterol 1980;74:529–31.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Gastroenterology, Al Amiri Teaching Hospital, P.O. Box 662, Salmiya, 22007, Salmiya, Kuwait

    S. Radhakrishnan M.R.C.P. (U.K.), Basil Al Nakib F.A.C.P. & N. K. Menon M.R.C.P. (U.K.)

  2. Department of Pathology, Al Amiri Teaching Hospital, P.O. Box 662, Salmiya, 22007, Salmiya, Kuwait

    H. Shaikh M.R.C. Path.

Authors
  1. S. Radhakrishnan M.R.C.P. (U.K.)
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  2. Basil Al Nakib F.A.C.P.
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  3. H. Shaikh M.R.C. Path.
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  4. N. K. Menon M.R.C.P. (U.K.)
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Radhakrishnan, S., Al Nakib, B., Shaikh, H. et al. The value of colonoscopy in schistosomal, tuberculous, and amebic colitis. Dis Colon Rectum 29, 891–895 (1986). https://doi.org/10.1007/BF02555371

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  • DOI: https://doi.org/10.1007/BF02555371

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