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Gastrointestinal Anisakidosis Takayuki Matsumoto 1 , Mitsuo Iida 2 1Department of Endoscopic Diagnostics and Therapeutics, Kyushu University Hospital 2Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University Keyword: 寄生虫 , アニサキス , 消化管 , 診断 pp.429-436
Published Date 2002/2/26
DOI https://doi.org/10.11477/mf.1403103469
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 Gastrointestinal anisakidosis is a condition induced by an infestation of nematodes which belong to Anisakidae in the gastrointestinal tract. While anaphylactic reaction and granulomatous inflammation can be induced by the infestation, acute phlegmonous inflammation is the most frequent pathology in the gastrointestinal anisakidosis. The stomach is the most frequent site of the infestation, where anisakis larvae can easily be observed and removed by endoscopy. In contrast, radiography and abdominal ultrasound are procedures useful for the diagnosis of intestinal anisakidosis. Radiographically, the intestinal involvement is characterized by intestinal stricture accompanied by thumbprinting, where the causative larvae is possibly depicted. Thickened intestinal wall and ascites are ultrasonographic signs suggestive of intestinal anisakidosis. An obvious history of the ingestion of raw fish and confirmation of gastrointestinal involvement can readily lead to the accurate diagnosis of intestinal anisakidosis.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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