{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:26:38Z","timestamp":1787757998354,"version":"build-2784847793"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Abdominal tuberculosis is an important yet ignored entity in the spectrum of tuberculosis which has been dominated by pulmonary tuberculosis. Diagnosis and treatment are often delayed due to nonspecific symptoms. In this study, we aimed to highlight the clinical features, diagnostic methods and outcomes of abdominal tuberculosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective study was conducted in tertiary referral centre where all patients referred to drug distribution centres (DOTS centre) for abdominal tuberculosis were identified. Their demographic clinical and radiological profile was evaluated. These patients were followed-up for their treatment course for complications and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 140 patients who were labelled abdominal tuberculosis over a period of 2 years were reviewed at tuberculosis drug distribution centre (DOTS). Mean age of study population was 35.42 \u00b1 12.53 years and majority of the population were males, 58.6% (82). The most common presenting symptom was abdominal pain which was seen in 82.8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 116) of the patients, followed by feverin 65.6% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 92); 22.8% (n = 32) were seropositive for HIV and 44.2% (n = 62) had luminal tuberculosis of which ileocecal was the most common site. Peritoneum was second most common site which was involved in 26.4% (n = 37) of the patients followed by mixed tuberculosis involving more than one type. Confirmed diagnosis was achieved in 74 patients (52.8%), while the remaining 66 patients (47.14%) were diagnosed clinically. During follow-up, 12 patients were lost to follow-up; 113 (80.7%) had complete response, while 3 (2.14%) patients died during treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Abdominal tuberculosis usually presents with nonspecific complaints which require high index of suspicion. Most patients require only medical therapy which has good results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1198_21","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T10:17:00Z","timestamp":1656584220000},"page":"2423-2430","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Indian tubercular belly: A prospective study of 140 patients of abdominal tuberculosis and their outcomes"],"prefix":"10.4103","volume":"11","author":[{"given":"Monika","family":"Keena","sequence":"first","affiliation":[{"name":"Department of Pulmonary Medicine, Consultant, Railway Hospital, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gopal","family":"Chawla","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine and Critical Care, Metro Centre of Respiratory Disease, Noida, UP, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ujjwal","family":"Sonika","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nupur","family":"Abrol","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Max Super Speciality Hospital, Shalimar Bagh, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shrikant","family":"Hiremath","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, SDM College of Medical Sciences, Sattur, Dharawad, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virender Kumar","family":"Meena","sequence":"additional","affiliation":[{"name":"Department of Radiology, Geetanjali Medical College and Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"B1-20240828","year":"2019","journal-title":"Global tuberculosis report 2019"},{"key":"B2-20240828","first-page":"448","article-title":"Index-TB guidelines:Guidelines on extrapulmonary tuberculosis for India","volume":"145","author":"Sharma","year":"2017","journal-title":"Indian J Med Res"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.mpmed.2013.10.008","article-title":"Extrapulmonary tuberculosis","volume":"42","author":"Houston","year":"2014","journal-title":"Medicine"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"14831","DOI":"10.3748\/wjg.v20.i40.14831","article-title":"Abdominaltuberculosis of the gastrointestinal tract:Revisited","volume":"20","author":"Debi","year":"2014","journal-title":"World J Gastroenterol"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.disamonth.2006.10.004","article-title":"Abdominal tuberculosis","volume":"53","author":"Lazarus","year":"2007","journal-title":"Dis Mon"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1093\/qjmed\/hct003","article-title":"Abdominal tuberculosis:Aretrospective review of cases presenting to a UK district hospital","volume":"106","author":"Mamo","year":"2013","journal-title":"QJM"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1186\/s12879-018-3635-2","article-title":"Clinical features and outcomes of abdominal tuberculosis in SoutheasternKorea:12 years of experience","volume":"18","author":"Cho","year":"2018","journal-title":"BMC Infect Dis"},{"key":"B8-20240828","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1093\/cid\/civ376","article-title":"Intermittent directly observed therapy for abdominal tuberculosis:A multicenter randomized controlled trial comparing 6 months versus 9 months of therapy","volume":"61","author":"Makharia","year":"2015","journal-title":"Clin Infect Dis"},{"key":"B11-20240828","first-page":"38","article-title":"Abdominal tuberculosis","volume":"64","author":"Rathi","year":"2016","journal-title":"J Assoc Physicians India"},{"key":"B12-20240828","doi-asserted-by":"crossref","first-page":"121","DOI":"10.4103\/0253-7176.116232","article-title":"How to calculate sample size for different study designs in medical research?","volume":"35","author":"Charan","year":"2013","journal-title":"Indian J Psychol Med"},{"key":"B13-20240828","first-page":"324","article-title":"Abdominal tuberculosis. 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