Volume 83, Issue 1
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



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.


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  1. Macpherson CN, , 2005. Human behaviour and the epidemiology of parasitic zoonoses. Int J Parasitol 35: 13191331.[Crossref]
  2. Karasawa Y, Karasawa G, Kamiya K, Hoshi K, , 2008. Current situation of anisakiasis: the second national survey. Nihon Iji Shimpo 4386: 6874.
  3. Van Thiel PH, Kuipers FC, Roskam RTH, , 1960. A nematode parasitic to herring causing acute abdominal syndromes in man. Trop Geogr Med 2: 97113.
  4. Chai JY, Darwin Murrell K, Lymbery AJ, , 2005. Fish-borne parasitic zoonoses: status and issues. Int J Parasitol 35: 12331254.[Crossref]
  5. Ishikura H, Kikuchi K, , 1990. Intestinal Anisakiasis in Japan: Infected Fish, Sero-Immunological Diagnosis, and Prevention. Tokyo: Springer.[Crossref]
  6. Oshima T, , 1987. Anisakiasis—is the sushi bar guilty? Parasitol Today 3: 4448.[Crossref]
  7. Sugimachi K, Inokuchi K, Ooiwa T, Fujino T, Ishii Y, , 1985. Acute gastric anisakiasis. Analysis of 178 cases. J Am Med Assoc 253: 10121013.[Crossref]
  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: 2729.
  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: 9799.[Crossref]
  10. Bouree P, Paugam A, Petithory JC, , 1995. Anisakidosis: report of 25 cases and review of the literature. Comp Immunol Microbiol Infect Dis 18: 7584.[Crossref]
  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: 162170.[Crossref]
  12. Theodore E, Gerald L, John E, Raphael D, , 2005. Anisakiasis. , eds. Principles and Practice of Infectious Diseases, 7th ed. Philadelphia: Elsevier Churchill Livingstone, 3295.
  13. Alonso A, Daschner A, Moreno-Ancillo A, , 1997. Anaphylaxis with Anisakis simplex in the gastric mucosa. N Eng J Med 337: 350351.[Crossref]

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  • Received : 22 Dec 2009
  • Accepted : 02 Apr 2010

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