Nine cases of acute gastric anisakiasis

doi:10.1016/S0016-5107(89)72797-8

Gastrointestinal Endoscopy

Volume 35, Issue 4, July 1989, Pages 304-308

https://doi.org/10.1016/S0016-5107(89)72797-8 Get rights and content

From 1983 to 1988, we treated 19 patients with acute gastritis which was highly suggestive of gastritis anisakiasis. Almost all of these patients complained of sharp, periodic, upper abdominal pains which occurred several hours after ingestion of raw fish. Among the 19 patients, 10 anisakis larvae from nine patients were successfully removed by endoscopic forceps. However, in the remaining 10 patients, who also showed the typical clinical course of anisakiasis, we could not find the anisakis larvae endoscopically. All 10 larvae were identified as stage III, anisakis type 1. The intolerable pain was relieved as soon as endoscopic removal of the larvae was accomplished in all nine patients. The purpose of this article was to report the clinical findings and emphasize the importance of early endoscopic management of acute gastric anisakiasis.

References (17)

T.L. Deardorff et al.
Invasive anisakiasis. A case report from Hawaii
Gastroenterology
(1986)
P.H. Van Thiel et al.
A nematode parasitic to herring acute abdominal syndrome in man
Trop Geog Med
(1960)
T. Nishimura
A nematode causing mesenteric abscess in man. The 19th West Jpn Regional Meeting [Abstract]
Jpn Soc Parasitol
(1963)
Y. Akasaka et al.
Endoscopic management of acute gastric anisakiasis
Endoscopy
(1979)
K. Hoshika et al.
Gastric anisakiasis and askariasis removed under an endoscopic procedure—report of 7 cases (English abstract)
Kawasaki Igakukaishi
(1987)
M.M. Kliks
Anisakiasis in the western United States: four new case reports from California
Am J Trop Med Hyg
(1983)
G. Lorenz
Morphological changes of anisakiasis
Zentralbi Allg Pathol
(1982)
Totsuka M. Human anisakiasis. III. Epidemiology. Fish and Anisakis (edited by Jpn Soc Sci Fisheries). Koseisha...

There are more references available in the full text version of this article.

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The horse mackerel, Trachurus trachurus, is a pelagic fish that feeds on small fish and planktonic crustaceans, and may become infected with Anisakis spp. larvae by consuming euphasiids (small crustaceans) which are intermediate hosts of these nematodes (Smith, 1983; Adroher et al., 1996; Mattiucci et al., 2008). This fish species is a much appreciated species, being consumed in Spain, among other culinary preparations, undercooked, smoked, pickled or marinated (Illescas et al., 2008), which makes it a potential source of anisakiosis, with some human cases having been reported due to its consumption, mainly in Japan (Shirahama et al., 1989; Ikeda et al., 1989; Muraoka et al., 1996; Sasaki et al., 2003; Fujikawa et al., 2018). However, the dressing of these dishes with some essential oils is able to inactivate larvae (Hierro et al., 2004; Giarratana et al., 2014, 2017a, 2017b), being a potential solution to avoid the presence of live anisakids in marinated fish.
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Nine cases of acute gastric anisakiasis

Gastroenterology

A nematode parasitic to herring acute abdominal syndrome in man

Trop Geog Med

A nematode causing mesenteric abscess in man. The 19th West Jpn Regional Meeting [Abstract]

Jpn Soc Parasitol

Endoscopic management of acute gastric anisakiasis

Endoscopy

Gastric anisakiasis and askariasis removed under an endoscopic procedure—report of 7 cases (English abstract)

Kawasaki Igakukaishi

Anisakiasis in the western United States: four new case reports from California

Am J Trop Med Hyg

Morphological changes of anisakiasis

Zentralbi Allg Pathol