THREE CASES OF TUBERCULOSIS OF THE STOMACH

-WITH SPECIAL REFERENCE TO THE ENDOSCOPIC OBSERVATION.-

Abstract

As tuberculosis of the stomach is rare, here we presented 3 cases of tuberculosis of the stomach. First case was a 46 yerar old male who was found to have large irregular ulcer at the posterior wall of upper corpus of the stomarh. The base of the ulcer was rogh and uneven. The endoscopic biopsy showed the epitheloid nodule with Langhans giant cells. Streptomycin was injected to the ulcer through endoscopy. After 3 months treatment a scar of the ulcer was seen. Second case: A 67 year old male who had an early cancer in the antrum of the stomach and as well as submucosal tumor (S. M. T) in the anterior wall of the upper part of the stomach. An operation was done and S. M. T. was found to be tuberculosis. Third case: A 66 year old female who had a tumor with two irregular ulcerations. This was confirmed by endoscopic biopsy. A chemotherapy such as PAS, KM, INAH was administered systemically and in addition streptomycin was injected to the ulcer through the endoscopy. About 4 months later, the tumor became smaller in size and the scer of the ulcer was seen. It is very rare that gastric tuberculosis was successfully treated conservatively and these are also the first time to use anti-tuberculous drugs to inject locally through the endoscopy.