Sugimachi K, Inokuchi K, Ooiwa T, Fujino T, Ishii Y
JAMA. 1985 Feb 15;253(7):1012-3.
From 1969 to 1984, we treated 178 patients with acute gastric anisakiasis caused by gastric mucosal penetration of the Anisakis larvae. Because the larvae of Anisakis can always be observed by endoscopy and removed with biopsy forceps, early performance of endoscopy is highly recommended for patients in whom acute gastric anisakiasis is suspected and for those who have eaten raw fish within 12 hours before onset of the gastric symptoms. Endoscopic removal is essential to relieve the intolerable pain; after relief, the administration of antacids will repair the damaged gastric mucosa. Ulcer formation is rare.
1969年至1984年，我们共治疗了178例因异尖线虫幼虫穿透胃黏膜而导致急性胃异尖线虫病的患者。由于通过内镜检查总能观察到异尖线虫幼虫并用活检钳将其取出，因此对于疑似患有急性胃异尖线虫病的患者以及在胃部症状发作前12小时内食用过生鱼的患者，强烈建议尽早进行内镜检查。内镜下取出对于缓解难以忍受的疼痛至关重要；疼痛缓解后，使用抗酸剂可修复受损的胃黏膜。溃疡形成较为罕见。
