Akasaka Y, Kizu M, Aoike A, Kawai K
Endoscopy. 1979 May;11(2):158-62. doi: 10.1055/s-0028-1098343.
Early endoscopy was performed in six cases of acute gastric anisakiasis. Immediately after detecting the larva of anisakis, the larval body was extracted together with its surrounding mucosa by a biopsy forceps. With the removal of the larva, severe colic pain subsided rapidly. Two cases in our series were identified as the stage IV larvae of the anisakis, type I. It was presumed that the stage III larva had exuviated in the human stomach. It is emphasized that endoscopic extraction of larva is the most effective procedure in dealing with acute gastric anisakiasis.
对6例急性胃异尖线虫病患者进行了早期内镜检查。在检测到异尖线虫幼虫后，立即用活检钳将幼虫及其周围黏膜一并取出。随着幼虫的取出，剧烈的绞痛迅速缓解。我们系列中的2例被确定为I型异尖线虫的IV期幼虫。推测III期幼虫已在人胃中蜕皮。强调内镜下取出幼虫是治疗急性胃异尖线虫病最有效的方法。
