Esophageal Anisakiasis Accompanied by Reflux Esophagitis

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概要

• 論文の詳細を見る

• 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 law 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.(Internal Medicine 36: 890-893, 1997)

• 社団法人 日本内科学会の論文
• 1997-12-01

著者

• Kondo Eisaku

  First Department Of Internal Medicine Toho University School Of Medicine

• OTSUKA Sachio

  First Department of Internal Medicine, Toho University School of Medicine

• Otsuka Sachio

  First Department Of Internal Medicine Toho University School Of Medicine

• KOYAMA Hiroshi

  First Department of Surgery, Kyoto Prefectural University of Medicine

• Koyama H

  Department Of Public Health Gunma University Graduate School Of Medicine

• URITA Yoshihisa

  First Department of Internal Medicine, Toho University School of Medicine

• NISHINO Mamoru

  First Department of Internal Medicine, Toho University School of Medicine

• NARUKI Yukihiko

  First Department of Internal Medicine, Toho University School of Medicine

• Nishino Mamoru

  First Department Of Internal Medicine Toho University School Of Medicine

• Urita Yoshihisa

  First Department Of Internal Medicine Toho University School Of Medicine

• Naruki Yukihiko

  First Department Of Internal Medicine Toho University School Of Medicine

• Koyama Hiroshi

  First Department Of Surgery Kyoto Prefectural University Of Medicine

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