Abstract:

Tuberculous peritonitis lacks specific clinical manifestations, making differential diagnosis difficult, and often leading to delayed confirmation of diagnosis, which increases the difficulty of treatment. In the process of diagnosis and treatment, multiple specialties and departments are usually involved, requiring the involvement of multidisciplinary teams (MDTs). Timely diagnosis and treatment are crucial for the prognosis of patients with tuberculous peritonitis. However, there is still a lack of relevant guiding consensus or guidelines for the multidisciplinary diagnosis and treatment of tuberculous peritonitis in China. Therefore, in order to provide reasonable and standardized systematic diagnosis and treatment for patients with tuberculous peritonitis, improve patient prognosis, and reduce mortality, Senior Department of Tuberculosis, the Eighth Medical Center of the Chinese People’s Liberation Army General Hospital, the Editorial Board of Chinese Journal of Antituberculosis, and Basic and Clinical Speciality Committees of Tuberculosis Control Branch of China International Exchange and Promotive Association for Medical and Health Care jointly organized multidisciplinary experts to formulate the Expert consensus on multidisciplinary diagnosis and treatment of tuberculous peritonitis, based on China’s current diagnostic and therapeutic experience and research achievements in tuberculous peritonitis. This consensus summarizes the epidemiological characteristics, pathophysiological mechanisms, and main clinical manifestations of tuberculous peritonitis, introduces common examination methods for tuberculous peritonitis, proposes the diagnostic criteria and treatments suggestions of tuberculous peritonitis, and especially gives recommendations on the indications, contraindications, preoperative preparation, surgical method and timing selection, and postoperative patient management, etc. It aims to provide clinical physicians with scientific and practical reference.

Key words: Peritonitis, tuberculous, Interdisciplinary communication, Diagnosis, Therapeutics, Consensus development conferences as topic