Comparison of the Clinical Characteristics of Patients with Small Bowel and Gastric Anisakiasis in Jeju Island
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Background/Aims: Anisakiasis is frequent in Jeju Island because of the people’s habit of ingesting raw fish. This study evaluated the clinical characteristics of patients with small bowel anisakiasis and compared them with those of patients with gastric anisakiasis. Methods: We retrospectively reviewed the medical records of 109 patients diagnosed with anisakiasis between May 2003 and November 2011. Results: Of the 109 patients diagnosed with anisakiasis, those with suspicious anisakiasis (n=38) or possible anisakiasis (n=12) were excluded. The age and gender distributions did not differ between patients with small bowel anisakiasis (n=30; age, 45±13 years) and those with gastric anisakiasis (n=29; age, 46±10 years). The mean duration of hospitalization was 5.4±4.3 days for patients with small bowel anisakiasis and 0.5±1.7 days for patients with gastric anisakiasis. Small bowel anisakiasis was accompanied by leukocytosis (76.7% vs 25.5%, p=0.003) and elevated C-reactive protein levels (3.4±3.2 mg/dL vs 0.5±0.3 mg/dL, p=0.009). Contrast-enhanced abdominopelvic computed tomography showed small bowel wall thickening with dilatation in 93.3% (28/30) of patients and a small amount of ascites in 80.0% (24/30) of patients with small bowel anisakiasis. Conclusions: Compared with gastric anisakiasis patients, small bowel anisakiasis patients had a longer hospitalization time, higher inflammatory marker levels, and small bowel wall thickening with ascites.
Abstract
Background/Aims: Anisakiasis is frequent in Jeju Island because of the people’s habit of ingesting raw fish. This study evaluated the clinical characteristics of patients with small bowel anisakiasis and compared them with those of patients with gastric anisakiasis. Methods: We retrospectively reviewed the medical records of 109 patients diagnosed with anisakiasis between May 2003 and November 2011. Results: Of the 109 patients diagnosed with anisakiasis, those with suspicious anisakiasis (n=38) or possible anisakiasis (n=12) were excluded. The age and gender distributions did not differ between patients with small bowel anisakiasis (n=30; age, 45±13 years) and those with gastric anisakiasis (n=29; age, 46±10 years). The mean duration of hospitalization was 5.4±4.3 days for patients with small bowel anisakiasis and 0.5±1.7 days for patients with gastric anisakiasis. Small bowel anisakiasis was accompanied by leukocytosis (76.7% vs 25.5%, p=0.003) and elevated C-reactive protein levels (3.4±3.2 mg/dL vs 0.5±0.3 mg/dL, p=0.009). Contrast-enhanced abdominopelvic computed tomography showed small bowel wall thickening with dilatation in 93.3% (28/30) of patients and a small amount of ascites in 80.0% (24/30) of patients with small bowel anisakiasis. Conclusions: Compared with gastric anisakiasis patients, small bowel anisakiasis patients had a longer hospitalization time, higher inflammatory marker levels, and small bowel wall thickening with ascites.
참고문헌 (28)
- Audicana MT, "Anisakis simplex: from obscure infectious worm to inducer of immune hypersensitivity", Clin Microbiol Rev, 21, pp.360~379 (2008)
- Hochberg NS, "Anisakidosis: perils of the deep", Clin Infect Dis, 51, pp.806~812 (2010)
- Caramello P, "Intestinal localization of anisakiasis manifested as acute abdomen", Clin Microbiol Infect, 9, pp.734~737 (2003)
- "Intestinal parasitic infection", Abdominal Imaging, 33, pp.166~171 (2008), Springer Verlag
- 윤상욱, "CT Findings of Surgically Verified Acute Invasive Small Bowel Anisakiasis Resulting in Small Bowel Obstruction", Yonsei Medical Journal, 45(4), pp.739~742 (2004), 연세대학교의과대학
- Nakata H, "Radiological diagnosis of acute gastric anisakiasis", Radiology, 135, pp.49~53 (1980)
- Bouree P, "Anisakidosis: report of 25 cases and review of the literature", Comp Immunol Microbiol Infect Dis, 18, pp.75~84 (1995)
- Takabe K, "Anisakidosis: a cause of intestinal obstruction from eating sushi", Am J Gastroenterol, 93, pp.1172~1173 (1998)
- Watanabe T, "Small bowel anisakiasis with self-limiting clinical course", Intern Med, 47, pp.2191~2192 (2008)
- Sasaki T, "Small bowel obstruction caused by anisakiasis of the small intestine: report of a case", Surg Today, 33, pp.123~125 (2003)
- 이철민, "고래회충유충증으로 유발된 장폐색증", 대한외과학회지, 74(2), pp.154~156 (2008), 대한외과학회
- 강동백, "급성 침윤성 장관 고래회충유충증에 의한 소장폐쇄", 대한소화기학회지, 56(3), pp.192~195 (2010), 대한소화기학회
- Takei H, "Intestinal anisakidosis (anisakiosis)", Ann Diagn Pathol, 11, pp.350~352 (2007)
- Moreno-Ancillo A, "Allergic reactions to Anisakis simplex parasitizing seafood", Ann Allergy Asthma Immunol, 79, pp.246~250 (1997)
- van Thiel P, "A nematode parasitic to herring, causing acute abdominal syndromes in man", Trop Geogr Med, 12, pp.97~113 (1960)
- Kagei N, "A case of hepatic anisakiasis with a literal survey for extra-gastrointestinal anisakiasis", Jpn J Parasitol, 44, pp.346~351 (1995)
- Yasunaga H, "Clinical features of bowel anisakiasis in Japan", Am J Trop Med Hyg, 83, pp.104~105 (2010)
- Garcia M, "The use of IgE immunoblotting as a diagnostic tool in Anisakis simplex allergy", J Allergy Clin Immunol, 99, pp.497~501 (1997)
- Ido K, "Sonographic diagnosis of small intestinal anisakiasis", J Clin Ultrasound, 26, pp.125~130 (1998)
- Park SH, "A case report of intestinal anisakiasis", Korean J Gastrointest Endosc, 10, pp.373~375 (1990)
- Sugimachi K, "Acute gastric anisakiasis. Analysis of 178 cases", JAMA, 253, pp.1012~1013 (1985)
- Sakanari JA, "Intestinal anisakiasis: a case diagnosed by morphologic and immunologic methods", Am J Clin Pathol, 90, pp.107~113 (1988)
- Lorenzo S, "Usefulness of currently available methods for the diagnosis of Anisakis simplex allergy", Allergy, 55, pp.627~633 (2000)
- 김위경, "CT Findings of Small Bowel Anisakiasis: Analysis of Four Cases", 대한영상의학회지, 64(2), pp.167~171 (2011), 대한영상의학회
- Ishida M, "Three successive cases of enteric anisakiasis", Dig Surg, 24, pp.228~231 (2007)
- Masui N, "Small bowel strangulation caused by parasitic peritoneal strand", Pathol Int, 56, pp.345~349 (2006)
- Matsuo S, "Small bowel anisakiosis: a report of two cases", World J Gastroenterol, 12, pp.4106~4108 (2006)
- Ramos L, "Anisakis simplex-induced small bowel obstruction after fish ingestion: preliminary evidence for response to parenteral corticosteroids", Clin Gastroenterol Hepatol, 3, pp.667~671 (2005)