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Using Eggs from Schistosoma mansoni as an In vivo Model of Helminth-induced Lung Inflammation
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Schistosomal colonic disease.

A R Mohamed1, M al Karawi, M I Yasawy

  • 1Gastroenterology Division, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.

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|April 1, 1990
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This summary is machine-generated.

Colonoscopic biopsies effectively diagnose colonic schistosomiasis, revealing Schistosoma mansoni ova in mucosa. Endoscopic findings correlate with histology, aiding in diagnosis and monitoring treatment response.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Parasitology

Background:

  • Schistosomiasis is a parasitic disease affecting various organs, including the colon.
  • Accurate diagnosis of colonic schistosomiasis is crucial for effective management.

Purpose of the Study:

  • To evaluate the diagnostic utility of colonoscopy and endoscopic biopsies in patients with suspected colonic schistosomiasis.
  • To correlate endoscopic findings with histopathological results and clinical symptoms.

Main Methods:

  • Retrospective analysis of 216 patients diagnosed with colonic schistosomiasis via endoscopic biopsies.
  • Colonoscopy, stool examination for Schistosoma mansoni ova, and histopathological analysis of colonic biopsies were performed.

Main Results:

  • Colonoscopy suggested schistosomiasis in 45.37% of patients; stool ova were found in only 11.11%.
  • Histopathology revealed Schistosoma mansoni ova in colonic mucosa as the most common finding, correlating with endoscopic appearance.
  • Abdominal pain/distention were common symptoms; hepatosplenic involvement occurred in 30.09%.

Conclusions:

  • Colonoscopy is valuable for identifying characteristic colonic lesions in schistosomiasis.
  • Endoscopic biopsies are diagnostic for colonic schistosomiasis and correlate with histological findings.
  • Treatment led to normalization of endoscopic findings in some patients.