Document Detail


Esophageal anisakiasis accompanied by reflux esophagitis.
MedLine Citation:
PMID:  9475245     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case with esophageal anisakiasis accompanied by reflux esophagitis is described. A 38-year-old man visited our hospital with complaints of heartburn and disturbance of food passage about seven hours after eating raw cuttlefish. The first esophagogastroscopy revealed an anisakis larva invading the squamocolumnar junction. Near the anisakis larva, a whitish exudate was demonstrated in the distal esophagus just proximal to the squamocolumnar junction. An anisakis larva was easily extracted from the esophagus by forceps. Reflux esophagitis with whitish exudative mucosal lesions and an area of linear erythema more than 5mm long were noted endoscopically 8 weeks after treatment with lansoprazole and cisapride. After six months the third endoscopic examination clarified that there was neither exudate nor erythema in the distal esophagus. Judging from the clinical course that he complained of newly experienced heartburn about seven hours after eating raw cuttlefish, and that whitish exudative mucosal lesions and an area of linear erythema did not disappear at three months after extraction of the anisakis larva. It was concluded that an anisakis larva enters the stomach first and then returns to the esophagus by gastroesophageal reflux.
Authors:
Y Urita; M Nishino; H Koyama; E Kondo; Y Naruki; S Otsuka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  36     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-03-25     Completed Date:  1998-03-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  890-3     Citation Subset:  IM    
Affiliation:
First Department of Internal Medicine, Toho University School of Medicine, Tokyo.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anisakiasis / complications*,  diagnosis
Cardia / parasitology
Esophageal Diseases / complications*,  diagnosis,  parasitology
Esophagitis, Peptic / complications*,  etiology
Esophagoscopy
Esophagus / parasitology
Gastroscopy
Heartburn / etiology
Humans
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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