Comparison of the clinical characteristics of patients with small bowel and gastric anisakiasis in jeju island.
Comparison of the clinical characteristics of patients with small bowel and gastric anisakiasis in jeju island.
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DOI：
10.5009/gnl.2013.7.1.23
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发表时间：
2013-01
期刊：
影响因子：
3.4
通讯作者：
Kim YR
中科院分区：
文献类型：
--
作者：
Kim T;Song HJ;Jeong SU;Choi EK;Cho YK;Kim HU;Song BC;Kim KS;Kim BS;Kim YR
由于人们有吃生鱼的习惯，在济州岛经常发生异尖线虫病。本研究评估了小肠异根线虫病患者的临床特征，并将其与胃异根线虫病患者的临床特征进行了比较。我们回顾性地回顾了2003年5月至2011年11月期间诊断为异丝虫病的109例患者的医疗记录。在109例诊断为异尖烟病的患者中，排除了可疑异尖烟病（n=38）或可能异尖烟病（n=12）的患者。小肠异尖线虫病患者（n=30，年龄45±13岁）和胃异尖线虫病患者（n=29，年龄46±10岁）的年龄和性别分布无差异。小肠异根线虫病患者的平均住院时间为5.4±4.3 d，胃异根线虫病患者的平均住院时间为0.5±1.7 d。小肠异形体病伴有白细胞增多（76.7% vs 25.5%, p=0.003）和c反应蛋白水平升高（3.4±3.2 mg/dL vs 0.5±0.3 mg/dL, p=0.009）。腹部增强ct显示93.3%（28/30）的患者小肠壁增厚并扩张，80.0%（24/30）的患者有少量腹水。与胃异根线虫病患者相比，小肠异根线虫病患者住院时间更长，炎症标志物水平较高，小肠壁增厚伴腹水。
Anisakiasis is frequent in Jeju Island because of the people's habit of ingesting raw fish. This study evaluated the clinical characteristics of patients with small bowel anisakiasis and compared them with those of patients with gastric anisakiasis. We retrospectively reviewed the medical records of 109 patients diagnosed with anisakiasis between May 2003 and November 2011. Of the 109 patients diagnosed with anisakiasis, those with suspicious anisakiasis (n=38) or possible anisakiasis (n=12) were excluded. The age and gender distributions did not differ between patients with small bowel anisakiasis (n=30; age, 45±13 years) and those with gastric anisakiasis (n=29; age, 46±10 years). The mean duration of hospitalization was 5.4±4.3 days for patients with small bowel anisakiasis and 0.5±1.7 days for patients with gastric anisakiasis. Small bowel anisakiasis was accompanied by leukocytosis (76.7% vs 25.5%, p=0.003) and elevated C-reactive protein levels (3.4±3.2 mg/dL vs 0.5±0.3 mg/dL, p=0.009). Contrast-enhanced abdominopelvic computed tomography showed small bowel wall thickening with dilatation in 93.3% (28/30) of patients and a small amount of ascites in 80.0% (24/30) of patients with small bowel anisakiasis. Compared with gastric anisakiasis patients, small bowel anisakiasis patients had a longer hospitalization time, higher inflammatory marker levels, and small bowel wall thickening with ascites.
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影响因子：
3.5
作者：
SAKANARI, JA;LOINAZ, HM;FRIERSON, JG
通讯作者：
FRIERSON, JG
影响因子：
14.2
作者：
Caramello, P;Vitali, A;Balbiano, R
通讯作者：
Balbiano, R
影响因子：
12.4
作者：
Lorenzo, S;Iglesias, R;de Corres, LF
通讯作者：
de Corres, LF
影响因子：
--
作者：
Park, Mi-Suk;Kim, Ki Whang;Lee, Dong Ho
通讯作者：
Lee, Dong Ho
影响因子：
2.5
作者：
Sasaki, T;Fukumori, D;Yamamoto, F
通讯作者：
Yamamoto, F