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首页> 外文期刊>Case Reports in Gastroenterology >Easy Detection and Fast Removal of Gastric Anisakis during Narrow-Band Imaging Endoscopy with L-Menthol Administration
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Easy Detection and Fast Removal of Gastric Anisakis during Narrow-Band Imaging Endoscopy with L-Menthol Administration

机译：带有L-薄荷醇的窄带成像内窥镜检查过程中易于检测和快速去除胃茴香

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Anisakiasis is a parasitic disease caused by the ingestion of raw or uncooked seafood infected with third-stage larvae of the anisakid nematodes. A 45-year-old Japanese man presented with epigastric pain and itchy skin with rash on his arm, chest, and back after eating vinegar-marinated raw mackerel sushi. He underwent an emergent endoscopic examination using narrow-band imaging (NBI) that revealed two anisakidlarvae. NBI showed the larvae more clearly than white light imaging on the cardiac region of the stomach. We sprayed L-menthol on the larvae for stopping their movement and then easily removed them using biopsy forceps. The macroscopic examination and genotype analysis of the specimens revealed the two larvae as belonging to A. simplex sensu stricto. Our case demonstrates the usefulness of endoscopic examination with NBI and of the L-menthol spray in visualizing and immobilizing the larvae for removal.
机译：Anisakiasis是一种寄生性疾病，是由于食入被anisakid线虫的第三阶段幼虫感染的生的或未煮过的海鲜引起的。一名45岁的日本男子在吃醋腌制的鲭鱼寿司后，出现上腹部疼痛和皮肤瘙痒，手臂，胸部和背部出现皮疹。他接受了使用窄带成像（NBI）进行的紧急内窥镜检查，发现有两个茴香基幼虫。与白光成像相比，NBI在胃的心脏区域显示出幼虫更清晰。我们在幼虫上喷洒了L-薄荷醇，以阻止其移动，然后使用活检钳轻松将其移除。对标本进行肉眼观察和基因型分析，发现这两个幼虫均属于A. simplex sensu stricto。我们的案例证明了使用NBI进行内窥镜检查以及L-薄荷醇喷雾剂在可视化和固定幼虫的去除中的有用性。

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