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Prevalence of clonorchiasis in patients with gastrointestinal disease: A Korean nationwide multicenter survey

Cited 30 time in Web of Science Cited 34 time in Scopus
Authors
Kim, Ho Gak; Han, Limin; Kim, Myung-Hwan; Cho, Kyu Hyun; Kim, Gwang Ha; Kim, Jin Bong; Kim, Tae Hyeon; Kim, Jae Woo; Moon, Young-Soo; Lee, Dong Ki; Lee, Kyu Taek; Yoo, Byung Moo; Yoo, Kyo-Sang; Yang, Chang Heon; Bang, Sung-Jo; Park, Chan Guk; Park, Sung Jae; Moon, Jong Ho; Yoon, Yong Bum; Chung, Jae Bok; Choi, Young Woo; Cheon, Gab Jin; Joo, Young-Eun; Cho, Chang Min; Lee, Woo Jin; Lee, Seung Ok; Lee, Sang Soo; Lee, Byung Seok; Ryu, Ji Kon; Kim, Tae Hyo; Kim, Tae Nyeun; Kim, Jae Seon; Shin, Im Hee
Issue Date
2009-01-07
Publisher
W J G PRESS
Citation
WORLD JOURNAL OF GASTROENTEROLOGY; Vol.15 1; 86-94
Keywords
Clonorchis sinensisKoreaClonorchiasisMulticenter studyCholangiocarcinomaEpidemiology
Abstract
AIM: To investigate prevalence of Clonorchis sinensis in patients with gastrointestinal symptoms, and the relation of the infection to hepatobiliary diseases in 26 hospitals in Korea. METHODS: Consecutive patients who had been admitted to the Division of Gastroenterology with gastrointestinal symptoms were enrolled from March to April 2005. Of those who had been diagnosed with clonorchiasis, epidemiology and correlation between infection and hepatobiliary diseases were surveyed by questionnaire. RESULTS: Of 3080 patients with gastrointestinal diseases, 396 (12.9%) had clonorchiasis and 1140 patients (37.2%) had a history of eating raw freshwater fish. Of those with a history of raw freshwater fish ingestion, 238 (20.9%) patients had clonorchiasis. Cholangiocarcinoma was more prevalent in C. sinensis-infected patients than noninfected patients [34/396 (8.6%) vs 145/2684 (5.4%), P = 0.015]. Cholangiocarcinoma and clonorchiasis showed statistically significant positive cross-relation (P = 0.008). Choledocholithiasis, cholecystolithiasis, cholangitis, hepatocellular carcinoma, and biliary pancreatitis did not correlate with clonorchiasis. CONCLUSION: Infection rate of clonorchiasis was still high in patients with gastrointestinal diseases in Korea, and has not decreased very much during the last two decades. Cholangiocarcinoma was related to clonorchiasis, which suggested an etiological role for the parasite. (C) 2009 The WJG Press and Baishideng. All rights reserved.
ISSN
1007-9327
Language
English
URI
http://hdl.handle.net/10371/76454
DOI
https://doi.org/10.3748/wjg.15.86
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College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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