Treatment failure causes in gi tuberculosis?

This is not ....: something we see very often (I never saw a case in 35 years of medical practice) in the United States. While not a common site of extra pulmonary disease, it can occur. I read that most patient respond well to standard anti-tubercular therapy, but that in some cases surgery is required. Treatment failure could be attributed to antibiotic resistance. A local TB expert should be consulted.Good luck

Mgt: Lack of compliance and resistance of the organism to the therapeutic regimen may cause treatment failure in any form of TB, including pulmonary.