Korean J Gastrointest Endosc > Volume 30(5); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(5): 267-272.
위의 기생충성 호산구성 육아종 2예의 내시경 초음파 소견
최종원·박병규·김유리·박승우·이세준·송시영·임범진*·정재복
연세대학교 의과대학 내과학교실, 소화기병연구소, *병리학교실
Endoscopic Ultrasonographic Findings of Two Cases of Parasitic Eosinophilic Granuloma in the Stomach
Jong Won Choi, M.D., Byung Kyu Park, M.D., Yu Ri Kim, M.D., Seung Woo Park, M.D., Se Joon Lee, M.D., Si Young Song, M.D., Beom Jin Lim, M.D.* and Jae Bock Chung, M.D.
Department of Internal Medicine, Institute of Gastroenterology and *Department of Pathology, Yonsei University College of Medicine, Seoul, Korea
Abstract
Anisakiasis is a disease of the alimentary tract caused by nematode larva belonging to the subfamily Anisakinae. It is possible for Anisakis larva to be transmitted to man through eating raw sea fish that is preferred by Korean people. The clinical symptoms are characterized by severe cramping abdominal pain, nausea, vomiting, diarrhea, tarry stool, and epigastric fullness. The endoscopic examination has played a important role in the diagnosis of anisakiasis. However, gastric anisakiasis is undetected due to unspecific symptom and delayed endoscopy. Endoscopic ultrasonography is probably the choice of investigative tool for the evaluation of submucosal mass. However distinctive feature of parasitic infectation presenting an submucosal tumor has not been reported. Recently, we experienced two cases of gastric anisakiasis. We found gastric submucosal tumors by endoscopy, differentiated them by endoscopic ultrasonography and treated by endoscopic submucosal resection. (Korean J Gastrointest Endosc 2005;30: 267⁣272)
Key Words: Anisakis, Submucosal tumor, Endoscopic ultrasonography
주요어: 아니사키스, 점막하 종양, 내시경 초음파
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