Gómez Maganda y Silva T, García Carrizosa R, Ortiz Ramírez E, López Reyes R, Castañeda Zúñiga C, Velasco Peña L A
Rev Gastroenterol Mex. 1981 Jan-Mar;46(1):11-5.
Duodenitis produced by Giardia lamblia occurred in 4.5% of the patients hospitalized in our service. Often was associated with duodenal or gastric peptic ulcer, hiatus hernia and with some other parasitic diseases; particularly with ambiasis. Forty four patients were studied in whom the only cause to demonstrate or explain their symptomatology was the presence of Giardia lamblia in the duodenum. The complaints disappeared after the administration of specific treatment. The clinical manifestations remained an atypic ulcer syndrome without defined rhythm or periodicity; however, heartburn and regurgitation are frequently present. The physical exploration does not help to the diagnosis. Gastric acidity is normal. X-ray studies demonstrate irregular mucosa of the stomach and duodenum and some spastic waves. Duodenoscopy allows to watch inflammatory changes of the duodenal mucosa and rules out peptic ulcer. The diagnosis is confirmed by the demonstration of the parasite, present in the fluid aspirated from the duodenum during the endoscopy.
在我们科室住院的患者中，由蓝氏贾第鞭毛虫引起的十二指肠炎症发生率为4.5%。它常与十二指肠或胃溃疡、食管裂孔疝以及其他一些寄生虫病相关，尤其是与阿米巴病有关。对44例患者进行了研究，在这些患者中，唯一能证明或解释其症状的原因是十二指肠中存在蓝氏贾第鞭毛虫。给予特异性治疗后，症状消失。临床表现为无明确节律或周期性的非典型溃疡综合征；然而，烧心和反流经常出现。体格检查无助于诊断。胃酸度正常。X线检查显示胃和十二指肠黏膜不规则以及一些痉挛波。十二指肠镜检查可观察十二指肠黏膜的炎症变化并排除消化性溃疡。通过在内镜检查时从十二指肠吸出的液体中发现寄生虫来确诊。
