On the diagnosis and treatment of tuberculosis of the stomach and duodenum

At present, judging by the literature data, not enough attention is paid to the diagnosis and treatment of tuberculosis of the stomach and duodenum. Even in the classical manuals on internal medicine (V.F. Zelenin, E.M. Gelstein, M.P. Konchalovsky) several lines are devoted to this issue, which speak of the rarity of tuberculous lesions of the stomach, the impossibility of clinical recognition and the failure of treatment. According to pathological data (I.V. Davydovsky), tuberculosis of the stomach and duodenum occurs from 0.12% to 0, 4% of cases for the entire number of autopsies and from 0.7 to 2.4% of cases for the number of autopsies who died from tuberculosis. According to those desirable, tuberculous lesions of the stomach in children and adolescents occurs much more often - up to 4.2% of cases. MG Zaitsev published (1950) 12 cases of tuberculosis of the stomach and duodenum in children and adolescents, which the author observed in a surgical clinic headed by A.T. Lidsky.