Parasites in Duodenal Aspirate using Endoscopy in Sohag, Egypt

Abstract

Background and study aim: Gastrointestinal parasites cause infectious diseases. Parasitic infection of duodenum is a relevant cause of its inflammation and appearance of upper GIT manifestation, especially in developing countries. Examination of duodenal aspirates can be very helpful in diagnosing intestinal infection because it eliminates some of the problems inherent in stool examination. The aim of this study was to estimate the prevalence of parasites in duodenal aspirate obtained by upper gastrointestinal tract endoscopy. Subjects and methods: This cross-sectional study was conducted from March 2017 toMarch 2018 in sohag university hospital and Center of the digestive system. It was done on 100 patients who underwent Esophago-gastro-duodenoscopy. A total of 100 duodenal aspirate samples were collected from patients were subjected to Esophagogastroduodenoscopy for diagnostic or therapeutic reason. All cases were reviewed as regard age, sex. Cases with parasitic infestations were characterized regarding the mentioned variables. Results: 60 % of duodenal aspirate samples were positive. Monoparasitized patients constituted 38% (38/100) of patients while 22% were polyparasitized. There were 44 patients (44%) of Cryptosporidium infection, 21 patients (21%) of Blastocystis hominis infection, 11 patients (11%) of Cyclospora infection, 8 patients (8%) of Giardia lamblia infection. Conclusion:We concluded that the duodenal aspirate samples obtained during gastrointestinal endoscopic procedures helped in diagnosing the parasites.

Feasibility of a Rapid Lateral Flow Test for Simultaneous Detection of Giardia Lamblia and Cryptosporidium Parvum in Duodenal Aspirates of Patients Suffering From Chronic Liver Diseases and Eligible for Upper Endoscopy

“…Alternative immunodiagnostic tools were developed to diagnose giardiasis and cryptosporidiosis as immunofluorescence assays, fecal antigen ELISA and Rapid lateral flow immunochromatographic assays (Adeyemo et al, 2018). Besides, the duodenal aspirates and the intestinal biopsy aided protozoal diagnosing (El-Hady and Abd-Elmaged, 2018).…”