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선희식(Hee Sik Sun),정인식(In Sik Chung),한석원(Suk Won Han),안병민(Byung Min Ahn),김재광(Jae Kwang Kim),최성호(Sung Ho choi),심규식(Gyu Sik Shin),백남종(Nam Jong Baek),지영희(Young Hee Jee),장은덕(Eun Duk Chang) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
Anisakis is generally considered to be a parasite of marine mammals and not normally found in man. It is possible for Anisakis larva to be transmitted to man through eating raw sea fish which is preferred by Korean people. The clinical symptoms are characterized by severe cramping abdominal pain, nausea, and vomiting. Recently we experienced 5 cases of acute gastric anisakiasis and all patients had a history of ingestion of raw sea fish and suffered from acute severe epigastric pain, nausea and vomiting. Early gastrofiberscopy was performed in all patients. After detection of the larva of Anisakis on gastric mucosa, endoscopic extraction of the larva by biopsy forcep was successfully carried out in all patients. Clinical symptoms were immediately improved after the removal of larva. We believe that it is very important to perform endoscopic examination and extraction of the larva at the earliest possible opportunity. It is emphasized that endoscopic extraction of the larva is the most effective procedure in dealing with acute gastric anisakiasis.