Clinical Features of Bowel Anisakiasis in Japan

Hideo Yasunaga Department of Health Management and Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Department of Health Economics and Epidemiology Research, School of Public Health, University of Tokyo, Tokyo, Japan; Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Fukuoka, Japan

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Hiromasa Horiguchi Department of Health Management and Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Department of Health Economics and Epidemiology Research, School of Public Health, University of Tokyo, Tokyo, Japan; Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Fukuoka, Japan

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Kazuaki Kuwabara Department of Health Management and Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Department of Health Economics and Epidemiology Research, School of Public Health, University of Tokyo, Tokyo, Japan; Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Fukuoka, Japan

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Hideki Hashimoto Department of Health Management and Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Department of Health Economics and Epidemiology Research, School of Public Health, University of Tokyo, Tokyo, Japan; Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Fukuoka, Japan

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Shinya Matsuda Department of Health Management and Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Department of Health Economics and Epidemiology Research, School of Public Health, University of Tokyo, Tokyo, Japan; Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Fukuoka, Japan

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DOI:
https://doi.org/10.4269/ajtmh.2010.09-0780
Volume/Issue:
Volume 83: Issue 1
Page(s):
104–105
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Bowel anisakiasis is rare, and the incidence and clinical features of this condition remain unclear. Using the Japanese Diagnosis Procedure Combination (DPC) in-patient database, we identified 201 cases of bowel anisakiasis between the months of July and December during 2007 and 2008. More than 70% were males. The average age was 54.5 years. Overall, 102 (50.7%) cases had ileus, 16 (8.0%) had perforation or peritonitis, and 4 (2.0%) had intestinal bleeding. Allergic responses, including urticaria, were found in seven (3.5%) patients. Fourteen (7.0%) cases underwent open surgery. Three (1.5%) underwent colonoscopic removal of Anisakis larvae. The average length of stay in the hospital was 9.6 days. The annual incidence of bowel anisakiasis is estimated to be about 3.0 per 1 million people per year. It is important to continue collecting all available data to monitor the trends of this distressing condition.

Author Notes

*Address correspondence to Hideo Yasunaga, Department of Health Management and Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. E-mail: yasunagah-jyo@h.u-tokyo.ac.jp

Authors' addresses: Hideo Yasunaga and Hiromasa Horiguchi, Department of Health Management and Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan, E-mails: yasunagah-jyo@h.u-tokyo.ac.jp and hiromasa-tky@umin.ac.jp. Kazuaki Kuwabara, Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, E-mail: kkuwabar@hcam.med.kyushu-u.ac.jp. Hideki Hashimoto, Department of Health Economics and Epidemiology Research, School of Public Health, University of Tokyo, Tokyo, Japan, E-mail: hidehashimoto-circ@umin.ac.jp. Shinya Matuda, Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Fukuoka, Japan, E-mail: smatsuda@med.uoeh-u.ac.jp.

Copyright:
©The American Society of Tropical Medicine and Hygiene 2010
Received:
22 Dec 2009
|
Accepted:
02 Apr 2010
|
Published Online:
06 Jul 2010
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
Online ISSN:
1476-1645
  • 1.

    Macpherson CN, 2005. Human behaviour and the epidemiology of parasitic zoonoses. Int J Parasitol 35: 1319–1331.

  • 2.

    Karasawa Y, Karasawa G, Kamiya K, Hoshi K, 2008. Current situation of anisakiasis: the second national survey. Nihon Iji Shimpo 4386: 68–74.

  • 3.

    Van Thiel PH, Kuipers FC, Roskam RTH, 1960. A nematode parasitic to herring causing acute abdominal syndromes in man. Trop Geogr Med 2: 97–113.

  • 4.

    Chai JY, Darwin Murrell K, Lymbery AJ, 2005. Fish-borne parasitic zoonoses: status and issues. Int J Parasitol 35: 1233–1254.

  • 5.

    Ishikura H, Kikuchi K, 1990. Intestinal Anisakiasis in Japan: Infected Fish, Sero-Immunological Diagnosis, and Prevention. Tokyo: Springer.

  • 6.

    Oshima T, 1987. Anisakiasis—is the sushi bar guilty? Parasitol Today 3: 44–48.

  • 7.

    Sugimachi K, Inokuchi K, Ooiwa T, Fujino T, Ishii Y, 1985. Acute gastric anisakiasis. Analysis of 178 cases. J Am Med Assoc 253: 1012–1013.

  • 8.

    Suzuki H, Suzaki M, Kato H, Onishi H, Umeda K, 2004. A surgical case of small intestinal anisakiasis, review of 79 cases from Japanese literature. Mie-I gaku 48: 27–29.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Matsumoto T, Iida M, Kimura Y, Tanaka I, Kitada T, Fujishima M, 1992. Anisakiasis of the colon: radiologic and endoscopic features in six patients. Radiology 183: 97–99.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Bouree P, Paugam A, Petithory JC, 1995. Anisakidosis: report of 25 cases and review of the literature. Comp Immunol Microbiol Infect Dis 18: 75–84.

  • 11.

    Kadono Y, Yasunaga H, Horiguchi H, Hashimoto H, Matsuda S, Tanaka S, Nakamura K, 2010. Statistics in orthopaedic surgery 2006–2007: data from the Japanese Diagnosis Procedure Combination (DPC) database. J Ortho Sci 15: 162–170.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Theodore E, 2005. Anisakiasis. Gerald L, John E, Raphael D, eds. Principles and Practice of Infectious Diseases, 7th ed. Philadelphia: Elsevier Churchill Livingstone, 3295.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Alonso A, Daschner A, Moreno-Ancillo A, 1997. Anaphylaxis with Anisakis simplex in the gastric mucosa. N Eng J Med 337: 350–351.

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