Anisakiasis

Ingestion of fish or seafood

Clinical

Epigastric pain

Small bowel obstruction - possible

Diagnosis

  • Upper GI endoscopy

  • Anti-anisakis IgG paired sera e.g. day 1 to day 14)

  • IgM???

Treatment

  • Endoscopic removal

  • Steroids have been used

  • No role for anti-helminths