Kim Heung Up
Korean J Helicobacter Up Gastrointest Res. 2024 Jun;24(2):127-135. doi: 10.7704/kjhugr.2024.0026. Epub 2024 Jun 10.
Korea was a hotspot for parasitic infections until modern times. However, following economic development, improved health and hygiene and farming methods, and successful implementation of active deworming programs, human parasites are rare. Currently, medical and scientific advances have improved the survival rate of elderly and immunocompromised hosts, and immunosuppressants are widely administered for treatment, which may predispose patients to parasitic and various opportunistic infections. Furthermore, globalization has led to the entry of an increasing number of individuals from various countries into Korea, which increases the risk of transmission of parasites from foreign countries into Korea. However, parasitic diseases will tend to disappear in Korea, which may lead to reduced proficiency and diagnostic rate of existing stool tests, and new diagnostic methods tailored to Korea are unavailable. Currently, endoscopy is widely used as a standard method for gastrointestinal disease evaluation in Korea, and endoscopically detected parasites or parasite-induced abnormalities are useful to establish diagnosis in many cases. In this article, the author summarize the current status of endoscopic detection of parasitic diseases affecting the upper gastrointestinal tract.
直到现代,韩国一直是寄生虫感染的热点地区。然而,随着经济发展、健康与卫生状况以及耕作方法的改善,以及积极驱虫计划的成功实施,人体寄生虫已较为罕见。目前,医学和科学的进步提高了老年人和免疫功能低下宿主的存活率,免疫抑制剂也被广泛用于治疗,这可能使患者易患寄生虫感染和各种机会性感染。此外,全球化导致越来越多来自不同国家的人进入韩国,增加了外国寄生虫传入韩国的风险。然而,寄生虫病在韩国可能会趋于消失,这可能导致现有粪便检测的熟练程度和诊断率降低,且韩国尚无量身定制的新诊断方法。目前,在韩国,内镜检查被广泛用作评估胃肠疾病的标准方法,在内镜检查中发现的寄生虫或寄生虫引起的异常在许多情况下有助于确诊。在本文中,作者总结了影响上消化道的寄生虫病内镜检测的现状。