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Clinical and Endoscopic Features of Colonic Anisakiasis in Korea

  • Joo, Sae Kyung (Seoul National University Seoul Metropolitan Government Boramae Medical Center - Internal Medicine) ;
  • Kim, Ji Won (Seoul National University Seoul Metropolitan Government Boramae Medical Center - Internal Medicine) ;
  • Kim, Byeong Gwan (Seoul National University Seoul Metropolitan Government Boramae Medical Center - Internal Medicine) ;
  • Kim, Won (Seoul National University Seoul Metropolitan Government Boramae Medical Center - Internal Medicine) ;
  • Lee, Jae Kyung (Seoul National University Seoul Metropolitan Government Boramae Medical Center - Internal Medicine) ;
  • Lee, Kook Lae (Seoul National University Seoul Metropolitan Government Boramae Medical Center - Internal Medicine)
  • 투고 : 2019.05.23
  • 심사 : 2019.08.12
  • 발행 : 2019.08.31

초록

To analyze the clinical and endoscopic features of colonic anisakiasis. A retrospective chart review of 20 patients with colonic anisakiasis, who were diagnosed by colonoscopy at 8 hospitals between January 2002 and December 2011, was performed. Patients' mean age was $53.6{\pm}10.74years$. Seventy percent patients were men. Acute abdominal pain was a common symptom that mostly developed within 48 hr after the ingestion of raw fish, and which lasted for 1-28 days. Sixty percent patients had ingested raw fish before the diagnosis of colonic anisakiasis and 40% patients were incidentally found to have colonic anisakiasis during the screening colonoscopies. Leukocytosis and eosinophilia were each found in 20% of the patients. In all patients who underwent colonoscopy, the worms were removed with biopsy forceps, except in 1 case, and a definite diagnosis of anisakiasis was made. In some cases of colonic anisakiasis, colonoscopy may be helpful in the diagnosis and treatment to avoid surgical intervention.

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참고문헌

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피인용 문헌

  1. Endoscopic submucosal dissection of colonic anisakiasis vol.112, 2019, https://doi.org/10.17235/reed.2020.6748/2019
  2. Asymptomatic Anisakiasis of the Colon Diagnosed and Treated by Colonoscopy vol.9, pp.9, 2019, https://doi.org/10.4236/crcm.2020.99041
  3. Anisakiosis colónica, un caso infrecuente caracterizado molecularmente mediante PCR-RFLP vol.39, pp.6, 2019, https://doi.org/10.1016/j.eimc.2020.08.018
  4. Colonic anisakiasis, an infrequent case molecularly characterized by PCR-RFLP vol.39, pp.6, 2021, https://doi.org/10.1016/j.eimce.2021.04.001