Pulmonary Tuberculosis Cases After Stomach Removal Surgery

In a study of 654 pulmonary tuberculosis patients, 8.4 percent had a history of gastric resection.

• Fifty-five patients who underwent gastric resection developed pulmonary tuberculosis, with a mean age of 50.2 years at the time of surgery.
• The average time from gastric resection to tuberculosis diagnosis was 13.6 years.
• Among the patients with a history of gastric resection, 34 tested positive for acid-fast bacilli, and 39 had cavitary lesions observed on chest X-ray.
• Gastrectomy was primarily performed due to stomach cancer in 31 patients and peptic ulcers in 21 patients.
• The odds ratio for developing tuberculosis in men aged 30 to 59 who had undergone gastrectomy was 3.8 compared to appropriate controls.
• Nutritional indicators such as body weight, body mass index, and serum albumin levels were lower in the gastrectomy group.

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