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Korean J Parasitol > Volume 57(4):2019 > Article
The Korean Journal of Parasitology 2019;57(4):411-416. doi: https://doi.org/10.3347/kjp.2019.57.4.411
Clinical and Endoscopic Features of Colonic Anisakiasis in Korea
Sae Kyung Joo, Ji Won Kim, Byeong Gwan Kim, Won Kim, Jae Kyung Lee, Kook Lae Lee
Seoul National University Seoul Metropolitan Government Boramae Medical Center - Internal Medicine, Seoul 07061, Korea
* Corresponding Author: Kook Lae Lee, Email: kllee@brmh.org
Received: May 23, 2019;  Revised: July 22, 2019;  Accepted: August 12, 2019.
Abstract
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±10.74 years. 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.
Key words: Anisakiasis, colon, colonoscopy, biopsy
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