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Sathaporn Manatsathit - One of the best experts on this subject based on the ideXlab platform.
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intestinal Capillariasis in the 21st century clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited.
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Intestinal Capillariasis in the 21 st century: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited.
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Intestinal Capillariasis in the 21^stcentury: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited. Methods Retrospective review of medical records of 26 patients diagnosed with intestinal Capillariasis at Siriraj Hospital, Bangkok, Thailand between 2001- 2013. Results Clinical manifestations were chronic watery diarrhea (93%), chronic abdominal pain (70%), significant weight loss (92%), hypoalbuminemia (100%; 85% lower than 2.0 g/dL), and anemia (50%). The median duration of symptoms was 5.5 months (1-60 months). Parasites were found in stool in 15 patients (57%). In patients whose stool tests were initially negative, parasites were discovered in tissue biopsy from endoscopy in 1 from 10 esophagogastroduodenoscopies (EGD), 0 from 7 colonoscopies, 3 from 5 push enteroscopies, and 3 from 5 balloon-assisted enteroscopies (BAE). Endoscopic findings included scalloping appearance, mucosal cracking, and redness of mucosa. These endoscopic findings affected mostly at jejunum and proximal ileum. They were similar to celiac disease except duodenal involvement which is uncommon in Capillariasis. Three patients underwent video capsule endoscopy (VCE) and typical abnormal findings were observed in all patients. Small bowel barium study showed fold thickening, fold effacement, and increased luminal fluid in 80% of patients, mainly seen at distal jejunum and ileum. CT findings were long segment wall thickening, enhanced wall, and fold effacement. Treatment with either albendazole or ivermectin cured all patients with most responding within 2 months. Conclusions In endemic area, intestinal Capillariasis should be considered if patients develop chronic watery diarrhea accompanied by significant weight loss and severe hypoalbuminemia. Stool examination had quite low sensitivities in making diagnosis in our study. Deep enteroscopy with biopsy guided by imaging or VCE may improve diagnostic yield. Empirical therapy may also be justifiable due to the very good response rate and less side effects.
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Intestinal Capillariasis in the 21^stcentury: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited. Methods Retrospective review of medical records of 26 patients diagnosed with intestinal Capillariasis at Siriraj Hospital, Bangkok, Thailand between 2001- 2013. Results Clinical manifestations were chronic watery diarrhea (93%), chronic abdominal pain (70%), significant weight loss (92%), hypoalbuminemia (100%; 85% lower than 2.0 g/dL), and anemia (50%). The median duration of symptoms was 5.5 months (1-60 months). Parasites were found in stool in 15 patients (57%). In patients whose stool tests were initially negative, parasites were discovered in tissue biopsy from endoscopy in 1 from 10 esophagogastroduodenoscopies (EGD), 0 from 7 colonoscopies, 3 from 5 push enteroscopies, and 3 from 5 balloon-assisted enteroscopies (BAE). Endoscopic findings included scalloping appearance, mucosal cracking, and redness of mucosa. These endoscopic findings affected mostly at jejunum and proximal ileum. They were similar to celiac disease except duodenal involvement which is uncommon in Capillariasis. Three patients underwent video capsule endoscopy (VCE) and typical abnormal findings were observed in all patients. Small bowel barium study showed fold thickening, fold effacement, and increased luminal fluid in 80% of patients, mainly seen at distal jejunum and ileum. CT findings were long segment wall thickening, enhanced wall, and fold effacement. Treatment with either albendazole or ivermectin cured all patients with most responding within 2 months. Conclusions In endemic area, intestinal Capillariasis should be considered if patients develop chronic watery diarrhea accompanied by significant weight loss and severe hypoalbuminemia. Stool examination had quite low sensitivities in making diagnosis in our study. Deep enteroscopy with biopsy guided by imaging or VCE may improve diagnostic yield. Empirical therapy may also be justifiable due to the very good response rate and less side effects.
Julajak Limsrivilai - One of the best experts on this subject based on the ideXlab platform.
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intestinal Capillariasis in the 21st century clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited.
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Intestinal Capillariasis in the 21 st century: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited.
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Intestinal Capillariasis in the 21^stcentury: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited. Methods Retrospective review of medical records of 26 patients diagnosed with intestinal Capillariasis at Siriraj Hospital, Bangkok, Thailand between 2001- 2013. Results Clinical manifestations were chronic watery diarrhea (93%), chronic abdominal pain (70%), significant weight loss (92%), hypoalbuminemia (100%; 85% lower than 2.0 g/dL), and anemia (50%). The median duration of symptoms was 5.5 months (1-60 months). Parasites were found in stool in 15 patients (57%). In patients whose stool tests were initially negative, parasites were discovered in tissue biopsy from endoscopy in 1 from 10 esophagogastroduodenoscopies (EGD), 0 from 7 colonoscopies, 3 from 5 push enteroscopies, and 3 from 5 balloon-assisted enteroscopies (BAE). Endoscopic findings included scalloping appearance, mucosal cracking, and redness of mucosa. These endoscopic findings affected mostly at jejunum and proximal ileum. They were similar to celiac disease except duodenal involvement which is uncommon in Capillariasis. Three patients underwent video capsule endoscopy (VCE) and typical abnormal findings were observed in all patients. Small bowel barium study showed fold thickening, fold effacement, and increased luminal fluid in 80% of patients, mainly seen at distal jejunum and ileum. CT findings were long segment wall thickening, enhanced wall, and fold effacement. Treatment with either albendazole or ivermectin cured all patients with most responding within 2 months. Conclusions In endemic area, intestinal Capillariasis should be considered if patients develop chronic watery diarrhea accompanied by significant weight loss and severe hypoalbuminemia. Stool examination had quite low sensitivities in making diagnosis in our study. Deep enteroscopy with biopsy guided by imaging or VCE may improve diagnostic yield. Empirical therapy may also be justifiable due to the very good response rate and less side effects.
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Intestinal Capillariasis in the 21^stcentury: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited. Methods Retrospective review of medical records of 26 patients diagnosed with intestinal Capillariasis at Siriraj Hospital, Bangkok, Thailand between 2001- 2013. Results Clinical manifestations were chronic watery diarrhea (93%), chronic abdominal pain (70%), significant weight loss (92%), hypoalbuminemia (100%; 85% lower than 2.0 g/dL), and anemia (50%). The median duration of symptoms was 5.5 months (1-60 months). Parasites were found in stool in 15 patients (57%). In patients whose stool tests were initially negative, parasites were discovered in tissue biopsy from endoscopy in 1 from 10 esophagogastroduodenoscopies (EGD), 0 from 7 colonoscopies, 3 from 5 push enteroscopies, and 3 from 5 balloon-assisted enteroscopies (BAE). Endoscopic findings included scalloping appearance, mucosal cracking, and redness of mucosa. These endoscopic findings affected mostly at jejunum and proximal ileum. They were similar to celiac disease except duodenal involvement which is uncommon in Capillariasis. Three patients underwent video capsule endoscopy (VCE) and typical abnormal findings were observed in all patients. Small bowel barium study showed fold thickening, fold effacement, and increased luminal fluid in 80% of patients, mainly seen at distal jejunum and ileum. CT findings were long segment wall thickening, enhanced wall, and fold effacement. Treatment with either albendazole or ivermectin cured all patients with most responding within 2 months. Conclusions In endemic area, intestinal Capillariasis should be considered if patients develop chronic watery diarrhea accompanied by significant weight loss and severe hypoalbuminemia. Stool examination had quite low sensitivities in making diagnosis in our study. Deep enteroscopy with biopsy guided by imaging or VCE may improve diagnostic yield. Empirical therapy may also be justifiable due to the very good response rate and less side effects.
Herbert Auer - One of the best experts on this subject based on the ideXlab platform.
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Capillaria hepatica in man—an overview of hepatic capillariosis and spurious infections
Parasitology Research, 2011Co-Authors: H. -p. Fuehrer, Petra Igel, Herbert AuerAbstract:Capillaria hepatica (syn. for Calodium hepaticum ) is a zoonotic nematode parasitizing in the livers of rodents as main hosts and in numerous other mammals including humans. It is the causative agent of the rare conditions of hepatic capillariosis and spurious C. hepatica infections in humans. In this review, 163 reported cases of infestations with this parasite (72 reports of hepatic capillariosis, 13 serologically confirmed infestations and 78 observations of spurious infections) are summarized with an overview on the distribution, symptoms, pathology, diagnosis, serology and therapy of this rare human pathogen.
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capillaria hepatica in man an overview of hepatic capillariosis and spurious infections
Parasitology Research, 2011Co-Authors: H. -p. Fuehrer, Petra Igel, Herbert AuerAbstract:Capillaria hepatica (syn. for Calodium hepaticum) is a zoonotic nematode parasitizing in the livers of rodents as main hosts and in numerous other mammals including humans. It is the causative agent of the rare conditions of hepatic capillariosis and spurious C. hepatica infections in humans. In this review, 163 reported cases of infestations with this parasite (72 reports of hepatic capillariosis, 13 serologically confirmed infestations and 78 observations of spurious infections) are summarized with an overview on the distribution, symptoms, pathology, diagnosis, serology and therapy of this rare human pathogen.
Edoardo Pozio - One of the best experts on this subject based on the ideXlab platform.
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Pulmonary Capillariasis miming bronchial carcinoma.
The American journal of tropical medicine and hygiene, 2008Co-Authors: Dusan Lalosevic, Vesna Lalošević, Ištvan Klem, Dušica Stanojev-jovanović, Edoardo PozioAbstract:Pulmonary Capillariasis is a zoonotic disease caused by the cosmopolitan nematode Capillaria aerophila, which circulates among wild carnivorous and omnivorous mammals. Only 11 cases have been documented to date. We describe a cryptic case of pulmonary Capillariasis in a Serbian woman that resembled a bronchial carcinoma.
Supot Pongprasobchai - One of the best experts on this subject based on the ideXlab platform.
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intestinal Capillariasis in the 21st century clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited.
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Intestinal Capillariasis in the 21 st century: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited.
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Intestinal Capillariasis in the 21^stcentury: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited. Methods Retrospective review of medical records of 26 patients diagnosed with intestinal Capillariasis at Siriraj Hospital, Bangkok, Thailand between 2001- 2013. Results Clinical manifestations were chronic watery diarrhea (93%), chronic abdominal pain (70%), significant weight loss (92%), hypoalbuminemia (100%; 85% lower than 2.0 g/dL), and anemia (50%). The median duration of symptoms was 5.5 months (1-60 months). Parasites were found in stool in 15 patients (57%). In patients whose stool tests were initially negative, parasites were discovered in tissue biopsy from endoscopy in 1 from 10 esophagogastroduodenoscopies (EGD), 0 from 7 colonoscopies, 3 from 5 push enteroscopies, and 3 from 5 balloon-assisted enteroscopies (BAE). Endoscopic findings included scalloping appearance, mucosal cracking, and redness of mucosa. These endoscopic findings affected mostly at jejunum and proximal ileum. They were similar to celiac disease except duodenal involvement which is uncommon in Capillariasis. Three patients underwent video capsule endoscopy (VCE) and typical abnormal findings were observed in all patients. Small bowel barium study showed fold thickening, fold effacement, and increased luminal fluid in 80% of patients, mainly seen at distal jejunum and ileum. CT findings were long segment wall thickening, enhanced wall, and fold effacement. Treatment with either albendazole or ivermectin cured all patients with most responding within 2 months. Conclusions In endemic area, intestinal Capillariasis should be considered if patients develop chronic watery diarrhea accompanied by significant weight loss and severe hypoalbuminemia. Stool examination had quite low sensitivities in making diagnosis in our study. Deep enteroscopy with biopsy guided by imaging or VCE may improve diagnostic yield. Empirical therapy may also be justifiable due to the very good response rate and less side effects.
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Intestinal Capillariasis in the 21^stcentury: clinical presentations and role of endoscopy and imaging
BMC Gastroenterology, 2014Co-Authors: Julajak Limsrivilai, Supot Pongprasobchai, Piyaporn Apisarnthanarak, Sathaporn ManatsathitAbstract:Background Intestinal Capillariasis is one of the common causes of malabsorption in the East. Reports emphasizing the roles of clinical, endoscopic and radiologic findings of intestinal Capillariasis are limited. Methods Retrospective review of medical records of 26 patients diagnosed with intestinal Capillariasis at Siriraj Hospital, Bangkok, Thailand between 2001- 2013. Results Clinical manifestations were chronic watery diarrhea (93%), chronic abdominal pain (70%), significant weight loss (92%), hypoalbuminemia (100%; 85% lower than 2.0 g/dL), and anemia (50%). The median duration of symptoms was 5.5 months (1-60 months). Parasites were found in stool in 15 patients (57%). In patients whose stool tests were initially negative, parasites were discovered in tissue biopsy from endoscopy in 1 from 10 esophagogastroduodenoscopies (EGD), 0 from 7 colonoscopies, 3 from 5 push enteroscopies, and 3 from 5 balloon-assisted enteroscopies (BAE). Endoscopic findings included scalloping appearance, mucosal cracking, and redness of mucosa. These endoscopic findings affected mostly at jejunum and proximal ileum. They were similar to celiac disease except duodenal involvement which is uncommon in Capillariasis. Three patients underwent video capsule endoscopy (VCE) and typical abnormal findings were observed in all patients. Small bowel barium study showed fold thickening, fold effacement, and increased luminal fluid in 80% of patients, mainly seen at distal jejunum and ileum. CT findings were long segment wall thickening, enhanced wall, and fold effacement. Treatment with either albendazole or ivermectin cured all patients with most responding within 2 months. Conclusions In endemic area, intestinal Capillariasis should be considered if patients develop chronic watery diarrhea accompanied by significant weight loss and severe hypoalbuminemia. Stool examination had quite low sensitivities in making diagnosis in our study. Deep enteroscopy with biopsy guided by imaging or VCE may improve diagnostic yield. Empirical therapy may also be justifiable due to the very good response rate and less side effects.
