Uysal Erdal, Dokur Mehmet
Dept. of General Surgery, School of Medicine, Sanko University, Gaziantep, Turkey.
Dept. of Emergency, Necip Fazil City Hospital, Kahramanmaras, Turkey.
Iran J Parasitol. 2017 Apr-Jun;12(2):156-168.
Helminths sometimes require surgical or endoscopic intervention. Helminths may cause acute abdomen, mechanical intestinal obstruction, gastrointestinal hemorrhage, perforation, hepatitis, pancreatitis, and appendicitis. This study aimed to determine the surgical diseases that helminths cause and to gather, analyze the case reports, case series and original articles about this topic in literature.
This study was designed as a retrospective observational study. In order to determine the studies published in literature, the search limits in Pub-Med database were set to 1 Jan 1957 and 31 Mar 2016 (59 yr), and the articles regarding Helminth-Surgery-Endoscopy were taken into examination. Among 521 articles scanned, 337 specific ones were involved in this study.
The most common surgical pathology was found to be in Ascaris lumbricoides group. was found to be the parasite that caused highest amount of acute appendicitis. Anisakiasis was observed to seem mainly because of abdominal pain and mechanical intestinal obstruction. causes duodenal pathologies such as duodenal obstruction and duodenitis. comes into prominence with appendicitis and gastrointestinal perforations. exhibits biliary tract involvement and causes common bile duct obstruction. Hookworms were observed to arise along with gastrointestinal hemorrhage and anemia. draws attention with gastrointestinal hemorrhage, mechanical intestinal obstruction.
Helminths may lead to life-threatening clinic conditions such as acute abdomen, gastrointestinal perforation, intestinal obstruction, and hemorrhages. There is a relationship between surgery and helminths. It is very important for surgeons to consider and remember helminths in differential diagnoses during their daily routines.
蠕虫有时需要手术或内镜干预。蠕虫可能导致急腹症、机械性肠梗阻、胃肠道出血、穿孔、肝炎、胰腺炎和阑尾炎。本研究旨在确定蠕虫引起的外科疾病,并收集、分析文献中关于该主题的病例报告、病例系列和原创文章。
本研究设计为回顾性观察研究。为了确定文献中发表的研究,将PubMed数据库的检索范围设定为1957年1月1日至2016年3月31日(59年),并对有关蠕虫-手术-内镜的文章进行审查。在扫描的521篇文章中,337篇特定文章纳入本研究。
发现最常见的外科病理情况存在于蛔虫组。发现蛔虫是导致急性阑尾炎数量最多的寄生虫。异尖线虫病主要表现为腹痛和机械性肠梗阻。姜片吸虫会引发十二指肠梗阻和十二指肠炎等十二指肠病变。棘球绦虫以阑尾炎和胃肠道穿孔最为突出。华支睾吸虫表现为胆道受累并导致胆总管梗阻。钩虫会引发胃肠道出血和贫血。粪类圆线虫引起胃肠道出血和机械性肠梗阻,备受关注。
蠕虫可能导致危及生命的临床状况,如急腹症、胃肠道穿孔、肠梗阻和出血。手术与蠕虫之间存在关联。外科医生在日常工作的鉴别诊断中考虑并记住蠕虫非常重要。