Tuberculosis of the stomach and the stomach in tuberculosis; a review with particular reference to gross pathology and gastroscopic diagnosis
Palmer, E.D.
American Review of Tuberculosis 61(1): 116-130
1950
ISSN/ISBN: 0096-0381 PMID: 15398021 Document Number: 10306
Tuberculosis of the stomach, a rare manifestation of the infection, may be classified grossly into ulcerous, infiltrative, tumorous, and inflammatory types. Although any part of the stomach may be involved, the antrum and lesser curvature of the pars media are most frequently affected. A consideration of the gross manifestations of the lesions, as they have been described in published reports of gastroscopic, surgical, and autopsy material, suggests that specific preoperative diagnosis by the gastroscopic method may be possible in some cases. Considered to be characteristic of the gross picture are the undermining of the edges of the ulcer type, the ulcer's typically serpiginous outline, the frequent presence of nearby superficial tubercles, whatever the gross form of the major lesion,>and the tendency towards slight interference with gastric motility in spite of extensive involvement of the gastric wall. The stomach of the tuberculous patient who has no gastric tuberculosis tends to demonstrate depressed secretory activity. Gastroscopy frequently reveals a chronic atrophic gastritis, best explained as a response to nutritional deficiency.
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