Thompson Bryan F, Fry Lucía C, Wells Christopher D, Olmos Martín, Lee David H, Lazenby Audrey J, Mönkemüller Klaus E
Department of Medicine, Division of Gastroenterology, VA Medical Center and University of Alabama, Birmingham, Alabama, USA.
Gastrointest Endosc. 2004 Jun;59(7):906-10. doi: 10.1016/s0016-5107(04)00337-2.
The aim of this study was a detailed endoscopic-pathologic assessment of patients with various forms of GI strongyloidiasis.
Six patients with a diagnosis of GI strongyloidiasis who underwent endoscopic evaluation during a 3-year period (January 1998-January 2001) were included. Published information was reviewed in detail, focusing on the endoscopic features and the diagnostic approach to this parasitosis.
Strongyloidiasis has a broad range of endoscopic features. In the duodenum, the findings included edema, brown discoloration of the mucosa, erythematous spots, subepithelial hemorrhages, and megaduodenum. In the colon, the findings included loss of vascular pattern, edema, aphthous ulcers, erosions, serpiginous ulcerations, and xanthoma-like lesions, and, in the stomach, thickened folds and mucosal erosions. A histopathologic diagnosis of strongyloidiasis was made in all cases.
Strongyloidiasis can involve any segment of the GI tract. EGD with procurement of biopsy specimens from the duodenum was the most accurate method of diagnosis in this case series.
本研究的目的是对各种形式的胃肠道类圆线虫病患者进行详细的内镜-病理评估。
纳入了6例在1998年1月至2001年1月的3年期间接受内镜评估且诊断为胃肠道类圆线虫病的患者。详细回顾了已发表的信息，重点关注这种寄生虫病的内镜特征和诊断方法。
类圆线虫病具有广泛的内镜特征。在十二指肠，表现包括水肿、黏膜棕色变色、红斑、上皮下出血和巨十二指肠。在结肠，表现包括血管纹理消失、水肿、阿弗他溃疡、糜烂、匐行性溃疡和类黄瘤样病变，在胃中则有皱襞增厚和黏膜糜烂。所有病例均做出了类圆线虫病的组织病理学诊断。
类圆线虫病可累及胃肠道的任何节段。在本病例系列中，经内镜逆行性胰胆管造影术（EGD）并从十二指肠获取活检标本是最准确的诊断方法。
Zotero 插件