Anisakiasis of the Terminal Ileum Removed by Colonoscopy

Okamoto, Takeshi; Fukuda, Katsuyuki

doi:10.1159/000509949

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…The use of DBE for SIA has been reported in two Japanese cases 6,7 . In English literature, anisakiasis of the ileum removed by colonoscopy has been reported 10 . Although the use of DBE is relatively rare, it means surgery can be avoided and there will be a shorter treatment period.…”

Section: Discussionmentioning

confidence: 99%

“…6 , 7 In English literature, anisakiasis of the ileum removed by colonoscopy has been reported. 10 Although the use of DBE is relatively rare, it means surgery can be avoided and there will be a shorter treatment period. The overall complications associated with DBE, including perforation, bleeding, and pancreatitis, have been reported to be around 1%.…”

Section: Discussionmentioning

confidence: 99%

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Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case report

Abe,

Ishida,

Osuga

et al. 2024

DEN Open

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A 53‐year‐old Japanese man presented to the emergency department with epigastric pain and bloating. Computed tomography revealed a thickening of the jejunal wall and proximal dilation. Double‐balloon enteroscopy was performed to investigate the jejunal thickening, which revealed an anisakis larva in the jejunum with an associated ulcer. The larva was removed using endoscopic forceps, after which there was immediate improvement of symptoms. Further patient interview determined that he had consumed marinated mackerel the day before the onset of symptoms. After diagnosis of small intestinal anisakiasis, he was successfully treated using double‐balloon enteroscopy. Its use for small intestinal anisakiasis is rare, and this case may be the first instance in the jejunum. Removal of the anisakis larva led to a clear diagnosis and a quick resolution of symptoms. A history of raw fish consumption a few days before the onset of abdominal symptoms and abnormal findings on computed tomography scans are key to the diagnosis of small intestinal anisakiasis. Double‐balloon enteroscopy was thought to be a safe means of making accurate diagnoses and appropriate treatment of our patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%