본문 바로가기
KERD
논문KCI 등재

Intestinal Helminthic Infections Diagnosed by Colonoscopy in a Regional Hospital during 2001-2008

2

조회

0

다운로드

6

인용

0

참고문헌

키워드

초록

The present study investigated characteristics of 24 parasite infection cases detected during colonoscopy in a regional hospital from January 2001 to December 2008. Sixteen patients were confirmed with Trichuris trichiura infection,6 patients were with Ascaris lumbricoides infection, 1 patient with Enterobius vermicularis infection, and 1 patient with Anisakis infection. Among them, 7 patients (43.8%) were asymptomatic. Colonoscopy findings were normal in 18 patients (75.0%). Among the patients with T. trichiura infection, colonoscopy showed several erosions in 2 patients (8.3%) and non-specific inflammation of the affected segment of the colon in 3 patients (12.5%). In 1 patient with anisakiasis, colonoscopy revealed a markedly swollen colonic wall. Stool examinations were performed before treatment in 7 patients (29.2%)and were all negative for parasite eggs or worms. These results suggest that colonoscopy is a useful diagnostic approach for parasitic infections even for asymptomatic patients and for patients with negative stool examinations.

Abstract

The present study investigated characteristics of 24 parasite infection cases detected during colonoscopy in a regional hospital from January 2001 to December 2008. Sixteen patients were confirmed with Trichuris trichiura infection,6 patients were with Ascaris lumbricoides infection, 1 patient with Enterobius vermicularis infection, and 1 patient with Anisakis infection. Among them, 7 patients (43.8%) were asymptomatic. Colonoscopy findings were normal in 18 patients (75.0%). Among the patients with T. trichiura infection, colonoscopy showed several erosions in 2 patients (8.3%) and non-specific inflammation of the affected segment of the colon in 3 patients (12.5%). In 1 patient with anisakiasis, colonoscopy revealed a markedly swollen colonic wall. Stool examinations were performed before treatment in 7 patients (29.2%)and were all negative for parasite eggs or worms. These results suggest that colonoscopy is a useful diagnostic approach for parasitic infections even for asymptomatic patients and for patients with negative stool examinations.

참고문헌 (18)

  1. Ministry of Health and Welfare, "Prevalence of intestinal parasitic infection in Korea-the sixth report", ~
  2. 김동수, "A Nationwide Survey on the Prevalence of Intestinal Parasitic Infections in the Republic of Korea, 2004", The Korean Journal of Parasitology, 47(1), pp.37~47 (2009), 대한기생충학회
  3. Rex DK, "American College of Gastroenterology guidelines for colorectal cancer screening 2008", Am J Gastroenterol, 104, pp.739~750 (2009)
  4. 옥경선, "Trichuris trichiura Infection Diagnosed by Colonoscopy: Case Reports and Review of Literature", The Korean Journal of Parasitology, 47(3), pp.275~280 (2009), 대한기생충학회
  5. Joo JH, "Colonoscopic diagnosis of whipworm infection", Hepatogastroenterology, 45, pp.2105~2109 (1998)
  6. Chandra B, "Diagnosis of Trichuris trichiura (whipworm) by colonoscopic extraction", J Clin Gastroenterol, 27, pp.152~157 (1998)
  7. Goenka MK, "Appendicular ascariasis: colonoscopic management", Gastrointest Endosc, 50, pp.435~436 (1999)
  8. Eckardt AJ, "Endoscopic diagnosis and removal of Ascaris lumbricoides during colonoscopy for polyp surveillance (with video)", Gastrointest Endosc, 63, pp.708~709 (2006)
  9. Goldenberg SP, "The endoscopic diagnosis of colonic enterobiasis", Gastrointest Endosc, 36, pp.309~310 (1990)
  10. Minamoto T, "Anisakiasis of the colon: Report of two cases with emphasis on the diagnostic and therapeutic value of colonoscopy", Endoscopy, 23, pp.50~52 (1991)
  11. Matsumoto T, "Anisakiasis of the colon: radiologic and endoscopic features in six patients", Radiology, 183, pp.97~99 (1992)
  12. Fishman JA, "Colonic obstruction and perforation due to Trichuris trichiura", Am J Med, 77, pp.154~156 (1984)
  13. Hung HC, "Gastrointestinal bleeding due to whipworm (Trichuris trichiura) infestation. A case report", Chin Med J, 55, pp.408~411 (1995)
  14. Khuroo MS, "Ascariasis", Gastroenterol Clin North Am, 25, pp.553~577 (1996)
  15. Russell LJ, "The pinworm, Enterobius vermicularis", Prim Care, 18, pp.13~24 (1991)
  16. Jardine M, "Enterobius vermicularis and colitis in children", J Pediatr Gastroenterol Nutr, 43, pp.610~612 (2006)
  17. Montalto M, "Anisakis infestation: a case of acute abdo- men mimicking crohn’s disease and eosinophilic gastroenteritis", Dig Liver Dis, 37, pp.62~64 (2005)
  18. Yoo HJ, "The association of anisakiasis in the ascending colon with sigmoid colon cancer: CT colonography findings", Korean J Radiol, 9(suppl), pp.S56~S60 (2008)

관련 논문AI추천

이 간행물의 다른 논문 (14건)