Differentiation of Crohn's disease from intestinal tuberculosis in India in 2010

World Journal of Gastroenterology

Volumn 17, Issue 4, 2011, Pages 433-443

  Pulimood, Anna Benjamin ^a   Amarapurkar, Deepak Narayan ^b   Ghoshal, Ujjala ^c   Phillip, Mathew ^d   Pai, Cannanore Ganesh ^e   Reddy, Duvvur Nageshwar ^f   Nagi, Birender ^g   Ramakrishna, Balakrishna Siddhartha ^a  

^a CHRISTIAN MEDICAL COLLEGE   (India)

^b BOMBAY HOSPITAL   (India)

^c SANJAY GANDHI POSTGRADUATE INSTITUTE OF MEDICAL SCIENCES   (India)

^d PVS Hospital   (India)

^e KASTURBA MEDICAL COLLEGE   (India)

^f ASIAN INSTITUTE OF GASTROENTEROLOGY   (India)

^g Postgraduate Institute   (India)

Author keywords

Clinical features; Crohn's disease; Endoscopy; Enteroscopy; Histology; Radiology; Serology; Surgery; Therapy; Tuberculosis

Indexed keywords

C REACTIVE PROTEIN; CLARITHROMYCIN; CLOFAZIMINE; ETHAMBUTOL; HEMOGLOBIN; ISONIAZID; RIFABUTIN; RIFAMPICIN;

ABDOMINAL DISTENSION; ABDOMINAL PAIN; ANEMIA; ANOREXIA; ANUS FISTULA; ARTHRITIS; ARTICLE; ASCITES; BACTERIUM CULTURE; BARIUM ENEMA; CAPSULE ENDOSCOPY; COLONOSCOPY; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; CROHN DISEASE; DEFECATION HABIT; DESCENDING COLON; DIAGNOSTIC KIT; DIARRHEA; DIFFERENTIAL DIAGNOSIS; DUODENOSCOPY; EDEMA; ENTERITIS; ENZYME LINKED IMMUNOSORBENT ASSAY; ERYTHROCYTE SEDIMENTATION RATE; FAMILY HISTORY; FEVER; FOLLOW UP; GASTROSCOPY; GROWTH RETARDATION; HEMATOCHEZIA; HEMOGLOBIN BLOOD LEVEL; HISTOPATHOLOGY; HUMAN; INDIA; INTESTINE BIOPSY; INTESTINE ENDOSCOPY; INTESTINE FISTULA; INTESTINE OBSTRUCTION; INTESTINE PERFORATION; INTESTINE TUBERCULOSIS; LEUKOCYTE DIFFERENTIAL COUNT; LUNG DISEASE; MALABSORPTION; MULTICENTER STUDY; MYCOBACTERIUM TUBERCULOSIS; POLYMERASE CHAIN REACTION; PROTEIN BLOOD LEVEL; RECURRENT DISEASE; SCLEROSING CHOLANGITIS; SEROLOGY; THROMBOCYTE COUNT; TRANSVERSE COLON; TREATMENT RESPONSE; VOMITING; WEIGHT REDUCTION;

EID: 79955933506     PISSN: 10079327     EISSN: None     Source Type: Journal    
DOI: 10.3748/wjg.v17.i4.433     Document Type: Article

References (71)

1. Pulimood AB, Peter S, Ramakrishna B, Chacko A, Jeyamani R, Jeyaseelan L, Kurian G. Segmental colonoscopic biopsies in the differentiation of ileocolic tuberculosis from Crohn's disease. J Gastroenterol Hepatol 2005; 20: 688-696
2. Lakatos PL. Recent trends in the epidemiology of inflammatory bowel diseases: up or down? World J Gastroenterol 2006; 12: 6102-6108
3. Pulimood AB, Ramakrishna BS, Kurian G, Peter S, Patra S, Mathan VI, Mathan MM. Endoscopic mucosal biopsies are useful in distinguishing granulomatous colitis due to Crohn's disease from tuberculosis. Gut 1999; 45: 537-541
4. Pai CG, Khandige GK. Is Crohn's disease rare in India? Indian J Gastroenterol 2000; 19: 17-20
5. Almadi MA, Ghosh S, Aljebreen AM. Differentiating intestinal tuberculosis from Crohn's disease: a diagnostic challenge. Am J Gastroenterol 2009; 104: 1003-1012
6. Epstein D, Watermeyer G, Kirsch R. Review article: the diagnosis and management of Crohn's disease in populations with high-risk rates for tuberculosis. Aliment Pharmacol Ther 2007; 25: 1373-1388
7. Amarapurkar DN, Patel ND, Rane PS. Diagnosis of Crohn's disease in India where tuberculosis is widely prevalent. World J Gastroenterol 2008; 14: 741-746
8. Patel N, Amarapurkar D, Agal S, Baijal R, Kulshrestha P, Pramanik S, Gupte P. Gastrointestinal luminal tuberculosis: establishing the diagnosis. J Gastroenterol Hepatol 2004; 19: 1240-1246
9. Hou JK, El-Serag H, Thirumurthi S. Distribution and manifestations of inflammatory bowel disease in Asians, Hispanics, and African Americans: a systematic review. Am J Gastroenterol 2009; 104: 2100-2109
10. Kim BG, Kim YS, Kim JS, Jung HC, Song IS. Diagnostic role of anti-Saccharomyces cerevisiae mannan antibodies combined with antineutrophil cytoplasmic antibodies in patients with inflammatory bowel disease. Dis Colon Rectum 2002; 45: 1062-1069
11. Ghoshal UC, Ghoshal U, Singh H, Tiwari S. Anti-Saccharomyces cerevisiae antibody is not useful to differentiate between Crohn's disease and intestinal tuberculosis in India. J Postgrad Med 2007; 53: 166-170
12. Makharia GK, Sachdev V, Gupta R, Lal S, Pandey RM. Anti- Saccharomyces cerevisiae antibody does not differentiate between Crohn's disease and intestinal tuberculosis. Dig Dis Sci 2007; 52: 33-39
13. Leung VK, Law ST, Lam CW, Luk IS, Chau TN, Loke TK, Chan WH, Lam SH. Intestinal tuberculosis in a regional hospital in Hong Kong: a 10-year experience. Hong Kong Med J 2006; 12: 264-271
14. Balamurugan R, Venkataraman S, John KR, Ramakrishna BS. PCR amplification of the IS6110 insertion element of Mycobacterium tuberculosis in fecal samples from patients with intestinal tuberculosis. J Clin Microbiol 2006; 44: 1884-1886
15. Morgan MA, Horstmeier CD, DeYoung DR, Roberts GD. Comparison of a radiometric method (BACTEC) and conventional culture media for recovery of mycobacteria from smear-negative specimens. J Clin Microbiol 1983; 18: 384-388
16. Winn W Jr AS, Janda W, Koneman E, Procop G, Schreckenberger P, Woods G. Koneman's color atlas and textbook of diagnostic Microbiology. Philadelphia: Lippincott Williams & Wilkins, 2006: 1064-1124
17. Gan H, Ouyang Q, Bu H, Li S, Chen D, Li G, Yang X. Value of polymerase chain reaction assay in diagnosis of intestinal tuberculosis and differentiation from Crohn's disease. Chin Med J (Engl) 1995; 108: 215-220
18. Amarapurkar DN, Patel ND, Amarapurkar AD, Agal S, Baigal R, Gupte P. Tissue polymerase chain reaction in diagnosis of intestinal tuberculosis and Crohn's disease. J Assoc Physicians India 2004; 52: 863-867
19. Li JY, Lo ST, Ng CS. Molecular detection of Mycobacterium tuberculosis in tissues showing granulomatous inflammation without demonstrable acid-fast bacilli. Diagn Mol Pathol 2000; 9: 67-74
20. Pulimood AB, Peter S, Rook GW, Donoghue HD. In situ PCR for Mycobacterium tuberculosis in endoscopic mucosal biopsy specimens of intestinal tuberculosis and Crohn disease. Am J Clin Pathol 2008; 129: 846-851
21. Kabeer BS, Sikhamani R, Raja A. Comparison of interferon gamma and interferon gamma-inducible protein-10 secretion in HIV-tuberculosis patients. AIDS 2010; 24: 323-325
22. Ouyang Q, Tandon R, Goh KL, Pan GZ, Fock KM, Fiocchi C, Lam SK, Xiao SD. Management consensus of inflammatory bowel disease for the Asia-Pacific region. J Gastroenterol Hepatol 2006; 21: 1772-1782
23. Bourreille A, Ignjatovic A, Aabakken L, Loftus EV Jr, Eliakim R, Pennazio M, Bouhnik Y, Seidman E, Keuchel M, Albert JG, Ardizzone S, Bar-Meir S, Bisschops R, Despott EJ, Fortun PF, Heuschkel R, Kammermeier J, Leighton JA, Mantzaris GJ, Moussata D, Lo S, Paulsen V, Panés J, Radford-Smith G, Reinisch W, Rondonotti E, Sanders DS, Swoger JM, Yamamoto H, Travis S, Colombel JF, Van Gossum A. Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMEDECCO consensus. Endoscopy 2009; 41: 618-637
24. Leighton JA, Shen B, Baron TH, Adler DG, Davila R, Egan JV, Faigel DO, Gan SI, Hirota WK, Lichtenstein D, Qureshi WA, Rajan E, Zuckerman MJ, VanGuilder T, Fanelli RD. ASGE guideline: endoscopy in the diagnosis and treatment of inflammatory bowel disease. Gastrointest Endosc 2006; 63: 558-565
25. Solem CA, Loftus EV Jr, Fletcher JG, Baron TH, Gostout CJ, Petersen BT, Tremaine WJ, Egan LJ, Faubion WA, Schroeder KW, Pardi DS, Hanson KA, Jewell DA, Barlow JM, Fidler JL, Huprich JE, Johnson CD, Harmsen WS, Zinsmeister AR, Sandborn WJ. Small-bowel imaging in Crohn's disease: a prospective, blinded, 4-way comparison trial. Gastrointest Endosc 2008; 68: 255-266
26. Jeong SH, Lee KJ, Kim YB, Kwon HC, Sin SJ, Chung JY. Diagnostic value of terminal ileum intubation during colonoscopy. J Gastroenterol Hepatol 2008; 23: 51-55
27. Misra SP, Misra V, Dwivedi M. Ileoscopy in patients with ileocolonic tuberculosis. World J Gastroenterol 2007; 13: 1723-1727
28. Misra SP, Misra V, Dwivedi M, Arora JS, Kunwar BK. Tuberculous colonic strictures: impact of dilation on diagnosis. Endoscopy 2004; 36: 1099-1103
29. Danelius M, Ost A, Lapidus AB. Inflammatory bowel disease-related lesions in the duodenal and gastric mucosa. Scand J Gastroenterol 2009; 44: 441-445
30. Lee YJ, Yang SK, Byeon JS, Myung SJ, Chang HS, Hong SS, Kim KJ, Lee GH, Jung HY, Hong WS, Kim JH, Min YI, Chang SJ, Yu CS. Analysis of colonoscopic findings in the differential diagnosis between intestinal tuberculosis and Crohn's disease. Endoscopy 2006; 38: 592-597
31. Makharia GK, Srivastava S, Das P, Goswami P, Singh U, Tripathi M, Deo V, Aggarwal A, Tiwari RP, Sreenivas V, Gupta SD. Clinical, endoscopic, and histological differentiations between Crohn's disease and intestinal tuberculosis. Am J Gastroenterol 2010; 105: 642-651
32. Reddy DN, Kaffes AJ, Sriram PVJ, Rao GV. Capsule endoscopic features of Crohn's disease. Dig Endosc 2004; 16: 138-142
33. Sriram PV, Rao GV, Reddy DN. Wireless capsule endoscopy: experience in a tropical country. J Gastroenterol Hepatol 2004; 19: 63-67
34. Triester SL, Leighton JA, Leontiadis GI, Gurudu SR, Fleischer DE, Hara AK, Heigh RI, Shiff AD, Sharma VK. A metaanalysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn's disease. Am J Gastroenterol 2006; 101: 954-964
35. Fidder HH, Nadler M, Lahat A, Lahav M, Bardan E, Avidan B, Bar-Meir S. The utility of capsule endoscopy in the diagnosis of Crohn's disease based on patient's symptoms. J Clin Gastroenterol 2007; 41: 384-387
36. Delvaux M, Friedman S, Keuchel M, Hagenmüller F, Weinstein M, Cave D, de Franchis R, Gay G, Korman LY. Structured terminology for capsule endoscopy: results of retrospective testing and validation in 766 small-bowel investigations. Endoscopy 2005; 37: 945-950
37. Reddy DN, Sriram PV, Rao GV, Reddy DB. Capsule endoscopy appearances of small-bowel tuberculosis. Endoscopy 2003; 35: 99
38. Cello JP. Capsule endoscopy features of human immunodeficiency virus and geographical diseases. Gastrointest Endosc Clin N Am 2004; 14: 169-177
39. Tsujikawa T, Saitoh Y, Andoh A, Imaeda H, Hata K, Minematsu H, Senoh K, Hayafuji K, Ogawa A, Nakahara T, Sasaki M, Fujiyama Y. Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences. Endoscopy 2008; 40: 11-15
40. Yamamoto H, Sekine Y, Sato Y, Higashizawa T, Miyata T, Iino S, Ido K, Sugano K. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc 2001; 53: 216-220
41. Pasha SF, Leighton JA, Das A, Harrison ME, Decker GA, Fleischer DE, Sharma VK. Double-balloon enteroscopy and capsule endoscopy have comparable diagnostic yield in small-bowel disease: a meta-analysis. Clin Gastroenterol Hepatol 2008; 6: 671-676
42. Nakamura M, Niwa Y, Ohmiya N, Arakawa D, Honda W, Miyahara R, Matsuura T, Ando T, Maeda O, Itoh A, Hirooka Y, Goto H. Small bowel tuberculosis diagnosed by the combination of video capsule endoscopy and double balloon enteroscopy. Eur J Gastroenterol Hepatol 2007; 19: 595-598
43. Ramchandani M, Reddy DN, Gupta R, Lakhtakia S, Tandan M, Rao GV, Darisetty S. Diagnostic yield and therapeutic impact of single-balloon enteroscopy: series of 106 cases. J Gastroenterol Hepatol 2009; 24: 1631-1638
44. Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993; 88: 989-999
45. Nagi B, Kochhar R, Bhasin DK, Singh K. Colorectal tuberculosis. Eur Radiol 2003; 13: 1907-1912
46. Wills JS, Lobis IF, Denstman FJ. Crohn disease: state of the art. Radiology 1997; 202: 597-610
47. Chernish SM, Maglinte DD, O'Connor K. Evaluation of the small intestine by enteroclysis for Crohn's disease. Am J Gastroenterol 1992; 87: 696-701
48. Maglinte DD, Gourtsoyiannis N, Rex D, Howard TJ, Kelvin FM. Classification of small bowel Crohn's subtypes based on multimodality imaging. Radiol Clin North Am 2003; 41: 285-303
49. Nagi B, Sodhi KS, Kochhar R, Bhasin DK, Singh K. Small bowel tuberculosis: enteroclysis findings. Abdom Imaging 2004; 29: 335-340
50. Lundstedt C, Nyman R, Brismar J, Hugosson C, Kagevi I. Imaging of tuberculosis. II. Abdominal manifestations in 112 patients. Acta Radiol 1996; 37: 489-495
51. Tandon HD, Prakash A. Pathology of intestinal tuberculosis and its distinction from Crohn's disease. Gut 1972; 13: 260-269
52. Gaffney EF, Condell D, Majmudar B, Nolan N, McDonald GS, Griffin M, Sweeney EC. Modification of caecal lymphoid tissue and relationship to granuloma formation in sporadic ileocaecal tuberculosis. Histopathology 1987; 11: 691-704
53. Price AB, Morson BC. Inflammatory bowel disease: the surgical pathology of Crohn's disease and ulcerative colitis. Hum Pathol 1975; 6: 7-29
54. Lockhart-Mummery HE, Morson BC. Crohn's disease of the large intestine. Gut 1964; 5: 493-509
55. Pettengell KE, Larsen C, Garb M, Mayet FG, Simjee AE, Pirie D. Gastrointestinal tuberculosis in patients with pulmonary tuberculosis. Q J Med 1990; 74: 303-308
56. Shah S, Thomas V, Mathan M, Chacko A, Chandy G, Ramakrishna BS, Rolston DD. Colonoscopic study of 50 patients with colonic tuberculosis. Gut 1992; 33: 347-351
57. Tanaka M, Riddell RH. The pathological diagnosis and differential diagnosis of Crohn's disease. Hepatogastroenterology 1990; 37: 18-31
58. Alvares JF, Devarbhavi H, Makhija P, Rao S, Kottoor R. Clinical, colonoscopic, and histological profile of colonic tuberculosis in a tertiary hospital. Endoscopy 2005; 37: 351-356
59. Kirsch R, Pentecost M, Hall Pde M, Epstein DP, Watermeyer G, Friederich PW. Role of colonoscopic biopsy in distinguishing between Crohn's disease and intestinal tuberculosis. J Clin Pathol 2006; 59: 840-844
60. Prakash K, Varma D, Mahadevan P, Narayanan RG, Philip M. Surgical treatment for small bowel Crohn's disease: an experience of 28 cases. Indian J Gastroenterol 2008; 27: 12-15
61. Gopi PG, Chandrasekaran V, Subramani R, Santha T, Thomas A, Selvakumar N, Narayanan PR. Association of conversion & cure with initial smear grading among new smear positive pulmonary tuberculosis patients treated with Category I regimen. Indian J Med Res 2006; 123: 807-814
62. Tahir M, Sharma SK, Rohrberg DS, Gupta D, Singh UB, Sinha PK. DOTS at a tertiary care center in northern India: successes, challenges and the next steps in tuberculosis control. Indian J Med Res 2006; 123: 702-706
63. Tony J, Sunilkumar K, Thomas V. Randomized controlled trial of DOTS versus conventional regime for treatment of ileocecal and colonic tuberculosis. Indian J Gastroenterol 2008; 27: 19-21
64. Park YS, Jun DW, Kim SH, Lee HH, Jo YJ, Song MH, Kim NI, Lee JS. Colonoscopy evaluation after short-term antituberculosis treatment in nonspecific ulcers on the ileocecal area. World J Gastroenterol 2008; 14: 5051-5058
65. Jain A, Mondal R, Prasad R, Singh K, Ahuja RC. Prevalence of multidrug resistant ycobacterium tuberculosis in Lucknow, Uttar Pradesh. Indian J Med Res 2008; 128: 300-306
66. Ramachandran R, Nalini S, Chandrasekar V, Dave PV, Sanghvi AS, Wares F, Paramasivan CN, Narayanan PR, Sahu S, Parmar M, Chadha S, Dewan P, Chauhan LS. Surveillance of drug-resistant tuberculosis in the state of Gujarat, India. Int J Tuberc Lung Dis 2009; 13: 1154-1160
67. Jain A, Mondal R. Extensively drug-resistant tuberculosis: current challenges and threats. FEMS Immunol Med Microbiol 2008; 53: 145-150
68. Lin PY, Wang JY, Hsueh PR, Lee LN, Hsiao CH, Yu CJ, Yang PC. Lower gastrointestinal tract tuberculosis: an important but neglected disease. Int J Colorectal Dis 2009; 24: 1175-1180
69. Peyrin-Biroulet L, Neut C, Colombel JF. Antimycobacterial therapy in Crohn's disease: game over? Gastroenterology 2007; 132: 2594-2598
70. Thomas GA, Swift GL, Green JT, Newcombe RG, Braniff- Mathews C, Rhodes J, Wilkinson S, Strohmeyer G, Kreuzpainter G. Controlled trial of antituberculous chemotherapy in Crohn's disease: a five year follow up study. Gut 1998; 42: 497-500
71. Selby W, Pavli P, Crotty B, Florin T, Radford-Smith G, Gibson P, Mitchell B, Connell W, Read R, Merrett M, Ee H, Hetzel D. Two-year combination antibiotic therapy with clarithromycin, rifabutin, and clofazimine for Crohn's disease. Gastroenterology 2007; 132: 2313-2319