title: Small bowel anisakiosis: a report of two cases.
abstract: Small bowel stenosis is a serious complication of intestinal anisakiosis. The aim of this report is to investigate whether severe stenosis of the small intestine can be conservatively managed. We treated two patients with severe stenosis of the small intestine caused by anisakiosis. Surgical intervention was eventually performed on the 23rd and 35th in the hospital, respectively. Histopathological examination of the resected specimens revealed that the intestinal wall had been completely damaged by the inflammatory reaction of anisakiosis, and that the damage was irreversible, thereby suggesting that laparotomy is needed in cases of severe small bowel stenosis caused by intestinal anisakiosis, even if a long period of conservative treatment for the intestinal anisakiosis allowed the patient to pass successfully through the acute phase.
authors.affiliation: Department of Surgery, Nagasaki Prefectural Shimabara Hospital, 7895 Shimokawajiri, Shimabara, Nagasaki 855-0861, Japan. shigetoshi-matsuo@pref.nagasaki.lg.jp
authors.forename: Shigetoshi
authors.initials: S
authors.lastname: Matsuo
authors.forename: Takashi
authors.initials: T
authors.lastname: Azuma
authors.forename: Seiya
authors.initials: S
authors.lastname: Susumu
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Shirou
authors.initials: S
authors.lastname: Obata
authors.forename: Tomayoshi
authors.initials: T
authors.lastname: Hayashi
mesh_terms: D000818:Animals; D017129:Anisakiasis / Q000473:pathology* / Q000601:surgery; D017163:Anisakis; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D007421:Intestine, Small / Q000469:parasitology / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged