Intestinal parasites seen on capsule endoscopy - 16/08/11
Doi : 10.1016/j.gie.2006.03.009
| Commentary What are the common intestinal parasites that are visible to the eye of the capsule endoscope and where do they reside? Diagnosis is by the worm’s appearance, but location also is typical: Anisakis, the stomach and the terminal ileum; ascaris, the duodenum, and the biliary and pancreatic ducts; tapeworms and hookworms, the small intestine; whipworm, the cecum; pinworm, the perianal skin. Capsule endoscopy once again allows us to see into the hard-to-reach small bowel, but diagnostic evaluations should be driven by exquisitely detailed case histories. The philosophers among us know that Daoists teach that there is a worm in each of the 3 main energy centers. The one in the lower abdomen causes lust in addition to intestinal distress. The one in the heart causes anxiety and cardiopulmonary diseases. The one in the forehead causes psychic distress and attachment to worldly things. To live long, Daoists counsel that one must abstain from grains while killing the Three Worms with herbs, exercise, and a diet of vegetables and mushrooms. In Western medicine, a vermicidal agent is more often used. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2006
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 64 - N° 4
P. 651 - octobre 2006 Retour au numéro
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