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[Gastric anisakiasis diagnosed by endoscopy]
J A Romeo Ramírez1, A E Martínez-Conde López, U Olivares Galdeano
1Servicio de Cirugía General, Hospital Santiago Apóstol, Vitoria.
Gastroenterologia Y Hepatologia
|June 1, 1997
Summary
Gastric anisakiasis, a growing parasitic infection in Spain, was diagnosed in an elderly male. Endoscopic findings and specific IgE testing confirmed the diagnosis, highlighting the importance of these methods.
Area of Science:
- Gastroenterology
- Parasitology
- Infectious Diseases
Background:
- Anisakiasis is a parasitic zoonosis caused by nematodes of the genus Anisakis.
- Increasing incidence of anisakiasis reported globally, particularly in regions with high consumption of raw or undercooked seafood.
- Gastric anisakiasis presents diagnostic challenges, often mimicking other gastrointestinal disorders.
Observation:
- A case of gastric anisakiasis in a 75-year-old male presenting with peculiar symptoms after consuming undercooked microwaved fish.
- Endoscopic examination revealed characteristic findings consistent with gastric anisakiasis.
- Serological testing, specifically the determination of IgE antibodies against Anisakis simplex, was performed.
Findings:
- Endoscopy confirmed gastric anisakiasis, enabling direct visualization and potential intervention.
- Specific IgE testing provided crucial serological evidence supporting the diagnosis of Anisakis simplex infection.
- The combination of endoscopic and serological data facilitated a definitive diagnosis.
Implications:
- Highlights the diagnostic utility of endoscopic procedures in identifying gastric anisakiasis.
- Emphasizes the role of serological tests (specific IgE) in confirming Anisakis simplex infections.
- Underscores the need for increased awareness and diagnostic vigilance for anisakiasis, especially with changing dietary habits.