Yeungnam Univ J Med.  1987 Aug;4(1):43-47. 10.12701/yujm.1987.4.1.43.

Clinical Review of Acute Gastric Anisakiasis

• Kim PY
• Chung MK
• Lee HJ
• Kim CS

• KMID: 2373914
• DOI: http://doi.org/10.12701/yujm.1987.4.1.43

Abstract

7 cases of acute gastric Anisakiasis have been reviewed at the Department of Internal Medicine, Yeungnam University Hospital from March, 1983 to December 1986. 1. Of 7 cases, the ratio of male and female was 3:4 and the age 30s occupied most (5 cases) the 50s' followed (2 cases). 2. Chief complains were in order of epigastric pain (6 cases), vomiting (3 cases), Nause (2 cases), Ulticaria (1 case) & epigastric fulling sensation (1 case). 3. In all 7 cases, the causative fish in astroconcer myriaster. 4. The onset of symptoms was observed within 5 to 7 hours after eating the causative raw fish. 5. Gastrofiberscopic exam was undergo within 48 hours since onset of symptoms. 6. The gastrofiberscopic findings were gastric mucosal edema and redness in all 7 cases. One case also had mucosal erosion. The involved sites of the stomach were in frequency of order, the body (5 cases), the antrum (2 cases). 7. The symptoms of the patients relieved spontaneously without medical treatment after the extraction of the larva with biopsy forcep during gastrofiberscopy. 8. In Korea, many people take raw fish and there may be many patients of Anisakiasis so if much concern and careful observation are paid to whom with severe cramping epigastric pain after taking of raw marine fish in about 10 hours, we could find out and confirm more patients suffering from Anisakiasis by immediate endoscopic gastrofiberscopy.

MeSH Terms

Anisakiasis*
Biopsy
Eating
Edema
Female
Humans
Internal Medicine
Korea
Larva
Male
Muscle Cramp
Sensation
Stomach
Surgical Instruments
Vomiting