Acute gastric anisakiasis. Analysis of 178 cases
K. Sugimachi, K. Inokuchi, T. Ooiwa, T. Fujino and Y. Ishii
From 1969 to 1984, we treated 178 patients with acute gastric anisakiasis
caused by gastric mucosal penetration of the Anisakis larvae. Because the
larvae of Anisakis can always be observed by endoscopy and removed with
biopsy forceps, early performance of endoscopy is highly recommended for
patients in whom acute gastric anisakiasis is suspected and for those who
have eaten raw fish within 12 hours before onset of the gastric symptoms.
Endoscopic removal is essential to relieve the intolerable pain; after
relief, the administration of antacids will repair the damaged gastric
mucosa. Ulcer formation is rare.
