Korean J Gastrointest Endosc > Volume 17(5); 1997 > Article
Korean Journal of Gastrointestinal Endoscopy 1997;17(5): 680-683.
증례 : 위장관 ; 급성 Anisakis 증 6예 ( Case Reports : Stomach & Intestine ; 6 Cases of Acute Anisakiasis )
금민수, 조창민, 김대현, 최성곤, 이창형, 권영오, 김성국, 최용환, 정준모 (Min Su Guem, Chang Min Cho, Dae Hyun Kim, Sung Gon Choi, Chang Hyeong Lee, Young Ok Kweon, Sung Kook Kim, Yong Hwan Choi and Joon Mo Chung)
Abstract
Anisakiasis is an accidental infection of human by larvae of marine mammals. It occurs when human ingest a raw or inadequately cooked saltwafer fish and squid infected with anisakis. The clinical symptoms are cramping abdominal pain, nausea, vomiting, diarrhea, tarry stool, and epigastric fulling sensation. We experienced six cases of acute gastric Anisakiasis and one case of duodenal Anisakiasis and all patients had a history of ingestion of raw sea fish and squid as "sashimi". Immediate endoscopic examination showed the whitish linear worm on stomach or doudenal bulb. Clinical symptoms was improved after removal by biopsy forcep. It is emphasized that endoscopic extraction of larva is the best procedure in manage of gastric or duodenal Anisakiasis. (Korean J Gastrointest Endosc 17: 680-683, 1997)
Key Words: Anisakiasis , Fish , Endoscopic extraction
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