Furuya K, Nakajima H, Sasaki Y, Urita Y
Department of General Medicine and Emergency Care, School of Medicine, Omori Hospital, Toho University, Tokyo, Japan.
Department of Internal Medicine, Kizukuri Adult Disease Center, Aomori, Japan.
Niger J Clin Pract. 2018 Nov;21(11):1492-1494. doi: 10.4103/njcp.njcp_256_17.
Japanese cuisine is now popular worldwide, and consumption of raw fish has thus increased at sushi bars and Japanese restaurants outside Japan. Anisakiasis, also known as herring-worm disease, is caused by ingesting larval nematodes in raw seafood and is a common illness in Japan. However, due to the rising popularity of Japanese food, gastroenterologists outside Japan need to be familiar with this disease.
We treated 158 patients presenting with acute gastrointestinal manifestations caused by anisakiasis from April 1991 to April 2000. One or more nematodes were removed endoscopically within 48 h of presentation in 44% of these patients, which resulted in prompt resolution of symptoms. Major endoscopic findings were gastric ulcer accompanied by hemorrhage, erosion, redness, and edema of the gastric mucosa in areas penetrated by larvae and other areas.
Endoscopy was valuable for the diagnosis and treatment of anisakiasis. We recommend endoscopy in suspected cases of anisakiasis. Moreover, it is desirable to combine complementary tests such as immunological tests/IgE measurement. As the popularity of Japanese cuisine increases, reports of anisakiasis are likely to be more frequent in countries other than Japan.
日本料理如今在全球广受欢迎，因此在日本境外的寿司店和日本餐厅中，生鱼的消费量有所增加。异尖线虫病，也被称为鲱鱼线虫病，是由于食用生海鲜中的幼虫线虫而引起的，在日本是一种常见疾病。然而，由于日本料理越来越受欢迎，日本境外的胃肠病学家需要熟悉这种疾病。
研究对象、方法与结果：我们对1991年4月至2000年4月期间因异尖线虫病出现急性胃肠道症状的158例患者进行了治疗。在这些患者中，44%的患者在就诊后48小时内通过内镜取出了一条或多条线虫，症状迅速缓解。主要的内镜检查发现是胃溃疡，伴有幼虫穿透区域及其他区域胃黏膜的出血、糜烂、发红和水肿。
内镜检查对异尖线虫病的诊断和治疗具有重要价值。我们建议对疑似异尖线虫病的病例进行内镜检查。此外，将免疫检测/IgE测量等补充检查结合起来是可取的。随着日本料理的日益普及，除日本外的其他国家异尖线虫病的报告可能会更加频繁。
