胃异尖线虫病的内镜检查结果及临床表现
Endoscopic findings and clinical manifestation of gastric anisakiasis.
作者信息
Kakizoe S, Kakizoe H, Kakizoe K, Kakizoe Y, Maruta M, Kakizoe T, Kakizoe S
机构信息
Department of Surgery, Kakizoe Hospital, Nagasaki, Japan.
出版信息
Am J Gastroenterol. 1995 May;90(5):761-3.
OBJECTIVES
To identify the endoscopic findings and clinical manifestations of anisakiasis, we studied 87 cases of gastric anisakiasis.
METHODS
Patient information was analyzed by means of patient records. The interval between the day of intake of Anisakis and endoscopic examination was determined in 86 cases. Then the endoscopic findings of each interval were elucidated.
RESULTS
Moderate to severe gastric mucosal edema tends to occur within 1 or 2 days after Anisakis infection, accompanied by leukocytosis. As to the sites of penetration of Anisakis, 55% of cases were found in the greater curvature with severe mucosal edema. Among 87 cases, four patients experienced anisakiasis twice during the interval examined, and six patients had past histories of anisakiasis before the investigated interval.
CONCLUSIONS
Gastric anisakiasis may be caused by an allergic reaction to the Anisakis antigen. There is a classic relationship between clinical and endoscopic findings and the interval after Anisakis administration. Anisakis usually is found in the greater curvature.
目的
为了明确异尖线虫病的内镜检查结果及临床表现，我们对87例胃异尖线虫病患者进行了研究。
方法
通过患者病历分析患者信息。确定了86例患者摄入异尖线虫至内镜检查的间隔时间。然后阐明了每个间隔时间的内镜检查结果。
结果
异尖线虫感染后1或2天内易出现中度至重度胃黏膜水肿，并伴有白细胞增多。关于异尖线虫的侵入部位，55%的病例出现在胃大弯处，伴有严重的黏膜水肿。在87例患者中，有4例在检查间隔期间发生了两次异尖线虫病，6例在调查间隔之前有过异尖线虫病病史。
结论
胃异尖线虫病可能是由对异尖线虫抗原的过敏反应引起的。临床和内镜检查结果与摄入异尖线虫后的间隔时间之间存在典型关系。异尖线虫通常出现在胃大弯处。
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